NURC 288: MED SURGE -Children- PREASSESSMENT EXAM
Match the following play activities with the correct age group.
3 to 6 months
Playing peek-a-boo Answer 1
Preschoolers
Drawing, painting, riding a Answer 2
tricycle
Birth to 3 months
Watching black-and-white mobiles Answer 3
9 to 12 months
Banging large block Answer 4
3 to 6 months
Holding a soft rattle Answer 5
School-age children
Team sports Answer 6
Feedback
The correct answer is:
Playing peek-a-boo – 6 to 9 months,
Drawing, painting, riding a tricycle – Preschoolers,
Watching black-and-white mobiles – Birth to 3 months,
Banging large block – 9 to 12 months,
Holding a soft rattle – 3 to 6 months,
Team sports – School-age children
Match the manifestations to the congenital heart defect.
Increased blood pressure and oxygen saturation in the
Answer 1
upper extremities compared to the lower extremities;
Coarctation of the aorta
Nosebleeds; Headaches, vertigo, leg pain, weak or absent
lower extremity pulses (indicate decreased cardiac output).
Answer 2
Murmur (machine-hum); Wide pulse pressure; Bounding
Patent ductus arteriosus (PDA)
pulses; Asymptomatic (possibly).
, Loud, harsh murmur; Mild heart failure; Possible enlarged Answer 3
right atrium; Increased oxygen saturations in the right Ventricular septal defect (VSD)
atrium; Asymptomatic (possibly).
Murmur; Cyanosis, severe dyspnea, clubbing of the
fingers, hypercyanotic spells, and acidosis; Polycythemia, Answer 4
clot formation; Frequently sits in a squatting position Tetralogy of Fallot
(decreases venous return); Failure to thrive and growth
retardation.
Answer 5
Systolic ejection murmur; Right ventricular enlargement;
Pulmonary stenosis
Exercise intolerance; Cyanosis with severe narrowing.
Loud, harsh murmur that is not usually audible until
Answer 6
pulmonary pressures drop at about 4 to 8 weeks of
Atrial septal defect (ASD)
age; Heart failure; Failure to thrive; Small, possibly
asymptomatic defects.
Feedback
The correct answer is:
Increased blood pressure and oxygen saturation in the upper extremities compared to the lower
extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses
(indicate decreased cardiac output). – Coarctation of the aorta,
Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly). – Patent
ductus arteriosus (PDA),
Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations
in the right atrium; Asymptomatic (possibly). – Atrial septal defect (ASD),
Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis;
Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous
return); Failure to thrive and growth retardation. – Tetralogy of Fallot,
Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with
severe narrowing. – Pulmonary stenosis,
Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks
of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. – Ventricular septal
defect (VSD)
Match the psychosocial stage to the correct age group.
Autonomy vs. Shame and Doubt School-age children (6-12 years)
Answer 1
Match the following play activities with the correct age group.
3 to 6 months
Playing peek-a-boo Answer 1
Preschoolers
Drawing, painting, riding a Answer 2
tricycle
Birth to 3 months
Watching black-and-white mobiles Answer 3
9 to 12 months
Banging large block Answer 4
3 to 6 months
Holding a soft rattle Answer 5
School-age children
Team sports Answer 6
Feedback
The correct answer is:
Playing peek-a-boo – 6 to 9 months,
Drawing, painting, riding a tricycle – Preschoolers,
Watching black-and-white mobiles – Birth to 3 months,
Banging large block – 9 to 12 months,
Holding a soft rattle – 3 to 6 months,
Team sports – School-age children
Match the manifestations to the congenital heart defect.
Increased blood pressure and oxygen saturation in the
Answer 1
upper extremities compared to the lower extremities;
Coarctation of the aorta
Nosebleeds; Headaches, vertigo, leg pain, weak or absent
lower extremity pulses (indicate decreased cardiac output).
Answer 2
Murmur (machine-hum); Wide pulse pressure; Bounding
Patent ductus arteriosus (PDA)
pulses; Asymptomatic (possibly).
, Loud, harsh murmur; Mild heart failure; Possible enlarged Answer 3
right atrium; Increased oxygen saturations in the right Ventricular septal defect (VSD)
atrium; Asymptomatic (possibly).
Murmur; Cyanosis, severe dyspnea, clubbing of the
fingers, hypercyanotic spells, and acidosis; Polycythemia, Answer 4
clot formation; Frequently sits in a squatting position Tetralogy of Fallot
(decreases venous return); Failure to thrive and growth
retardation.
Answer 5
Systolic ejection murmur; Right ventricular enlargement;
Pulmonary stenosis
Exercise intolerance; Cyanosis with severe narrowing.
Loud, harsh murmur that is not usually audible until
Answer 6
pulmonary pressures drop at about 4 to 8 weeks of
Atrial septal defect (ASD)
age; Heart failure; Failure to thrive; Small, possibly
asymptomatic defects.
Feedback
The correct answer is:
Increased blood pressure and oxygen saturation in the upper extremities compared to the lower
extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses
(indicate decreased cardiac output). – Coarctation of the aorta,
Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly). – Patent
ductus arteriosus (PDA),
Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations
in the right atrium; Asymptomatic (possibly). – Atrial septal defect (ASD),
Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis;
Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous
return); Failure to thrive and growth retardation. – Tetralogy of Fallot,
Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with
severe narrowing. – Pulmonary stenosis,
Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks
of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. – Ventricular septal
defect (VSD)
Match the psychosocial stage to the correct age group.
Autonomy vs. Shame and Doubt School-age children (6-12 years)
Answer 1