NURS 4431 PEDIATRICS UTA EXAM 2 NEWEST UPDATE 2025|2026 WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|BRAND NEW VERSION!!
Tricuspid Atresia - CORRECT ANSWER-tricuspid valve fails to develop -> no opening -> no blood
flow to lungs for R side -> blood flows back to R side of heart and mixes at foramen ovale, any
blood to lungs enters ductus arteriosus to go to lungs. Lower oxygen saturation
S/S of tricuspid atresia - CORRECT ANSWER-cyanosis at birth when DA closes, tachypnea,
feeding difficulty, cyanosis, poor or weak sucking, ^ WOB, heart murmur, crackles or wheezes if
HF, cool/clammy skin, clubbing
Only treatment of tricuspid atresia - CORRECT ANSWER-surgery
acute rheumatic fever - CORRECT ANSWER-occurs 2-4 weeks after strep infection, lasts 6-12
weeks, may recur with subsequent strep infections
four defects in tetralogy of Fallot. - CORRECT ANSWER-Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell - CORRECT ANSWER-sudden change - deep blue skin with possible deep,
rapid, shallow breathing
,Treatment at home for Tet spell - CORRECT ANSWER-place child in knee-chest position,
squatting, or on shoulder with knees bent
Only treatment to fix TOF - CORRECT ANSWER-surgery
Hospital treatment of Tet spell - CORRECT ANSWER-supplemental oxygen, fluids, MS/Propanalol
S/S of ARF - CORRECT ANSWER-joints inflamed, sydenham chorea (jerky movements of
face/extremeties), rash, murmur, nodules of wrists/elbows/knees, chronic progressive damage
to heart and valves
Diagnosis of ARF - CORRECT ANSWER-Jones criteria: elevated CRP/ESR, positive streptococcal
titer
management of ARF - CORRECT ANSWER-manage inflammation/fever, eradicate bacteria,
prevent further heart damage, monthly injection of penicillin G or daily oral penicillin, or
erythromycin prophylaxis until adulthood
Kawasaki disease - CORRECT ANSWER-autoimmune systemic vasculitis, 6mo-5years. self-
limiting syndrome with possible serious CV complications: coronary artery
aneurism/cardiomyopathy
S/S of kawasaki disease - CORRECT ANSWER-fever, chills, HA, malaise, extreme irritability,
vomiting, diarrhea, abdominal pain, joint pain, conjuctival hyperemia, rash, hand/feet edema,
erythema/painful induration on palms, PEELING FINGERS/TOES, lymphadenopathy, possible
jaundice
, acute phase of kawasaki disease - CORRECT ANSWER-high fever, red tongue, red
conjuctiva/eyes, red swollen hands/feet
subacute phase of kawasaki disease - CORRECT ANSWER-cracked lips, peeling fingers/toes, joint
pain, worried about coronary artery aneurism
convalescent phase of kawasaki disease - CORRECT ANSWER-look terrible and we are
concerned about heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease - CORRECT ANSWER-Acetaminophen only! avoid NSAIDs.
monitor I/O, cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias - CORRECT ANSWER-urethral opening on ventral side (underside) of penis
epispadias - CORRECT ANSWER-urethral opening on dorsal side (top) of penis
chordee - CORRECT ANSWER-curved penis due to fibrous tissue
assessment findings of male GU disorders - CORRECT ANSWER-unusual urine stream, inspect
penis to locate opening, note presence of fibrous band causing penile curve, note location of
testicles, presence of fluid in scrotum
treatment of male GU disorders - CORRECT ANSWER-surgery to normalize urination, allow
normal sexual function. repaired at 6-12 months, no circumcision until repair completed
primary HTN - CORRECT ANSWER-blood pressure rises as time goes on, not due to underlying
cause
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|BRAND NEW VERSION!!
Tricuspid Atresia - CORRECT ANSWER-tricuspid valve fails to develop -> no opening -> no blood
flow to lungs for R side -> blood flows back to R side of heart and mixes at foramen ovale, any
blood to lungs enters ductus arteriosus to go to lungs. Lower oxygen saturation
S/S of tricuspid atresia - CORRECT ANSWER-cyanosis at birth when DA closes, tachypnea,
feeding difficulty, cyanosis, poor or weak sucking, ^ WOB, heart murmur, crackles or wheezes if
HF, cool/clammy skin, clubbing
Only treatment of tricuspid atresia - CORRECT ANSWER-surgery
acute rheumatic fever - CORRECT ANSWER-occurs 2-4 weeks after strep infection, lasts 6-12
weeks, may recur with subsequent strep infections
four defects in tetralogy of Fallot. - CORRECT ANSWER-Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell - CORRECT ANSWER-sudden change - deep blue skin with possible deep,
rapid, shallow breathing
,Treatment at home for Tet spell - CORRECT ANSWER-place child in knee-chest position,
squatting, or on shoulder with knees bent
Only treatment to fix TOF - CORRECT ANSWER-surgery
Hospital treatment of Tet spell - CORRECT ANSWER-supplemental oxygen, fluids, MS/Propanalol
S/S of ARF - CORRECT ANSWER-joints inflamed, sydenham chorea (jerky movements of
face/extremeties), rash, murmur, nodules of wrists/elbows/knees, chronic progressive damage
to heart and valves
Diagnosis of ARF - CORRECT ANSWER-Jones criteria: elevated CRP/ESR, positive streptococcal
titer
management of ARF - CORRECT ANSWER-manage inflammation/fever, eradicate bacteria,
prevent further heart damage, monthly injection of penicillin G or daily oral penicillin, or
erythromycin prophylaxis until adulthood
Kawasaki disease - CORRECT ANSWER-autoimmune systemic vasculitis, 6mo-5years. self-
limiting syndrome with possible serious CV complications: coronary artery
aneurism/cardiomyopathy
S/S of kawasaki disease - CORRECT ANSWER-fever, chills, HA, malaise, extreme irritability,
vomiting, diarrhea, abdominal pain, joint pain, conjuctival hyperemia, rash, hand/feet edema,
erythema/painful induration on palms, PEELING FINGERS/TOES, lymphadenopathy, possible
jaundice
, acute phase of kawasaki disease - CORRECT ANSWER-high fever, red tongue, red
conjuctiva/eyes, red swollen hands/feet
subacute phase of kawasaki disease - CORRECT ANSWER-cracked lips, peeling fingers/toes, joint
pain, worried about coronary artery aneurism
convalescent phase of kawasaki disease - CORRECT ANSWER-look terrible and we are
concerned about heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease - CORRECT ANSWER-Acetaminophen only! avoid NSAIDs.
monitor I/O, cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias - CORRECT ANSWER-urethral opening on ventral side (underside) of penis
epispadias - CORRECT ANSWER-urethral opening on dorsal side (top) of penis
chordee - CORRECT ANSWER-curved penis due to fibrous tissue
assessment findings of male GU disorders - CORRECT ANSWER-unusual urine stream, inspect
penis to locate opening, note presence of fibrous band causing penile curve, note location of
testicles, presence of fluid in scrotum
treatment of male GU disorders - CORRECT ANSWER-surgery to normalize urination, allow
normal sexual function. repaired at 6-12 months, no circumcision until repair completed
primary HTN - CORRECT ANSWER-blood pressure rises as time goes on, not due to underlying
cause
