Nursing 362 Final exam with answers |\ |\ |\ |\ |\
Blood flowing from a defect from the left side of the heart to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
right side can cause what? - CORRECT ANSWERS ✔✔Heart Failure
|\ |\ |\ |\ |\ |\ |\ |\ |\
Obstructive defects of the heart (3) (which one is the most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common?) (a cyanotic or cyanotic?) - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Coarctation of the aorta (most common) |\ |\ |\ |\ |\
Aortic stenosis|\ |\
pulmonic stenosis |\ |\
ACYANOTIC
Increases pulmonary blood flow defects of the heart (4)
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Acyanotic or cyanotic?) - CORRECT ANSWERS ✔✔Atrial Septal
|\ |\ |\ |\ |\ |\ |\ |\
Defect
Ventricular Septal Defect |\ |\
Atrioventricular Canal Defect |\ |\ |\
Patent Ductus Arteriosus
|\ |\ |\
ACYANOTIC
Decreased pulmonary blood flow defects of the heart (2)
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Acyanotic or cyanotic?) - CORRECT ANSWERS ✔✔Tetralogy of
|\ |\ |\ |\ |\ |\ |\ |\
Fallot |\
Tricuspid atresia |\ |\
CYANOTIC
,Mixed blood flow heart defects (4) (acyanotic or cyanotic?) -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Transposition of the great vessels
|\ |\ |\ |\ |\ |\
Total anomalous pulmonary vein return
|\ |\ |\ |\ |\
Truncus Arteriosus |\ |\
Hypoplastic left heart |\ |\ |\
CYANOTIC
What is the most common CHD in down syndrome? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔AV canal |\ |\
Which category of CHD has the worst outcome? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔mixed blood flow |\ |\ |\
Where is a PDA located and why does it stay open in utero? what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
do you give to close PDA after birth? - CORRECT ANSWERS ✔✔1)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
connection between aorta and pulmonary artery
|\ |\ |\ |\ |\ |\
2) stays open from prostaglandins from the placenta
|\ |\ |\ |\ |\ |\ |\
3) Close with NSAIDS (prostaglandin inhibitors)
|\ |\ |\ |\ |\
What are the four defects to diagnose a CHD as Tetralogy of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Fallot? - CORRECT ANSWERS ✔✔1) Pulmonic stenosis
|\ |\ |\ |\ |\ |\ |\
2) Right Ventricular hypertrophy (d/t pulm stenosis)
|\ |\ |\ |\ |\ |\
3) Overriding aorta (aorta too close to the middle of the heart)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4) Ventricular septal defect
|\ |\ |\
, What are the three shunts used to fix tetralogy of Fallot? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1) bidirectional Glenn shunt (connects
|\ |\ |\ |\ |\ |\ |\
SVC and pulm artery so more blood goes to lungs)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2) Modified Blalock- Taussig shunt (connects subclavian artery
|\ |\ |\ |\ |\ |\ |\ |\
and pulm artery to get more blood to the lungs)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3) Central (only if other 2 do not work)
|\ |\ |\ |\ |\ |\ |\ |\
When do you give an infant prostaglandins to keep the PDA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
open? - CORRECT ANSWERS ✔✔if they have transposition of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
great vessels so at least some deoxygenated blood can go to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lungs
|\
CHD common with DeGeorge syndrome that is very hard to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repair and kids usually die before 1 year old with it - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Truncus arteriosus |\ |\
What kind of shock would a child get from an internal injury like a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lacerated liver? - CORRECT ANSWERS ✔✔hypovolemic shock
|\ |\ |\ |\ |\ |\ |\
What should a nurse do if a child is going through a "tet" spell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
where they are hypercyanotic - CORRECT ANSWERS ✔✔place
|\ |\ |\ |\ |\ |\ |\ |\
child in a knee to chest position
|\ |\ |\ |\ |\ |\
when do the anterior and posterior fontanels close? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1) 12 months |\ |\ |\
2) 2 months
|\ |\
Blood flowing from a defect from the left side of the heart to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
right side can cause what? - CORRECT ANSWERS ✔✔Heart Failure
|\ |\ |\ |\ |\ |\ |\ |\ |\
Obstructive defects of the heart (3) (which one is the most
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
common?) (a cyanotic or cyanotic?) - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Coarctation of the aorta (most common) |\ |\ |\ |\ |\
Aortic stenosis|\ |\
pulmonic stenosis |\ |\
ACYANOTIC
Increases pulmonary blood flow defects of the heart (4)
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Acyanotic or cyanotic?) - CORRECT ANSWERS ✔✔Atrial Septal
|\ |\ |\ |\ |\ |\ |\ |\
Defect
Ventricular Septal Defect |\ |\
Atrioventricular Canal Defect |\ |\ |\
Patent Ductus Arteriosus
|\ |\ |\
ACYANOTIC
Decreased pulmonary blood flow defects of the heart (2)
|\ |\ |\ |\ |\ |\ |\ |\ |\
(Acyanotic or cyanotic?) - CORRECT ANSWERS ✔✔Tetralogy of
|\ |\ |\ |\ |\ |\ |\ |\
Fallot |\
Tricuspid atresia |\ |\
CYANOTIC
,Mixed blood flow heart defects (4) (acyanotic or cyanotic?) -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Transposition of the great vessels
|\ |\ |\ |\ |\ |\
Total anomalous pulmonary vein return
|\ |\ |\ |\ |\
Truncus Arteriosus |\ |\
Hypoplastic left heart |\ |\ |\
CYANOTIC
What is the most common CHD in down syndrome? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔AV canal |\ |\
Which category of CHD has the worst outcome? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔mixed blood flow |\ |\ |\
Where is a PDA located and why does it stay open in utero? what
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
do you give to close PDA after birth? - CORRECT ANSWERS ✔✔1)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
connection between aorta and pulmonary artery
|\ |\ |\ |\ |\ |\
2) stays open from prostaglandins from the placenta
|\ |\ |\ |\ |\ |\ |\
3) Close with NSAIDS (prostaglandin inhibitors)
|\ |\ |\ |\ |\
What are the four defects to diagnose a CHD as Tetralogy of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Fallot? - CORRECT ANSWERS ✔✔1) Pulmonic stenosis
|\ |\ |\ |\ |\ |\ |\
2) Right Ventricular hypertrophy (d/t pulm stenosis)
|\ |\ |\ |\ |\ |\
3) Overriding aorta (aorta too close to the middle of the heart)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4) Ventricular septal defect
|\ |\ |\
, What are the three shunts used to fix tetralogy of Fallot? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔1) bidirectional Glenn shunt (connects
|\ |\ |\ |\ |\ |\ |\
SVC and pulm artery so more blood goes to lungs)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2) Modified Blalock- Taussig shunt (connects subclavian artery
|\ |\ |\ |\ |\ |\ |\ |\
and pulm artery to get more blood to the lungs)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
3) Central (only if other 2 do not work)
|\ |\ |\ |\ |\ |\ |\ |\
When do you give an infant prostaglandins to keep the PDA
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
open? - CORRECT ANSWERS ✔✔if they have transposition of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
great vessels so at least some deoxygenated blood can go to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lungs
|\
CHD common with DeGeorge syndrome that is very hard to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
repair and kids usually die before 1 year old with it - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Truncus arteriosus |\ |\
What kind of shock would a child get from an internal injury like a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
lacerated liver? - CORRECT ANSWERS ✔✔hypovolemic shock
|\ |\ |\ |\ |\ |\ |\
What should a nurse do if a child is going through a "tet" spell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
where they are hypercyanotic - CORRECT ANSWERS ✔✔place
|\ |\ |\ |\ |\ |\ |\ |\
child in a knee to chest position
|\ |\ |\ |\ |\ |\
when do the anterior and posterior fontanels close? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1) 12 months |\ |\ |\
2) 2 months
|\ |\
