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Miami Dade College: NUR 2310 Peds Test 2 Blueprint

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Miami Dade College: NUR 2310 Peds Test 2 Blueprint

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Peds Test 2 Blueprint

1. Symptoms of right ventricular failure
- Hepatomegaly
- Peripheral edema
- Weight gain
- Ascites
- Jugular vein distention
- Fatigue
- Cyanosis
2. What do you check before giving digoxin
- Take apical pulse for 1 minute
- Monitor serum potassium levels prior to administering med
3. Why do you wait till 2 years old to repair an atrial septal defect
- Sometimes closes spontaneously
- Delayed allowing growth and minimize risk, typically performed around age 2
to 4 years old
4. Ductus arteriosus closes in what time frame
- Anatomic closure by 2 to 3 weeks
- Functional closure occurs typically 24 hours after birth
5. What medication helps close ductus arteriosus and why
- Take Indomethacin
- Promotes closure by inhibiting prostaglandins that keep the ductus
open
6. What causes rheumatic fever
- An autoimmune response following an infection of group A beta hemolytic
streptococcus
7. Which cardiac problems follow the inflammatory phase of rheumatic fever
- Carditis
- Valvular insuLiciency
- Cardiomegaly
- Heart failure
8. Benign manifestation of rheumatic fever
- Subcutaneous nodules
- Erythema marginatum




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, 9. Kawasaki disease treatment
- Administer aspirin 80 to 100mg/kg/day as ordered while temperature is
elevated
- Administer IV immune globin (IVIG) to reduce risk of coronary artery lesions
and aneurysms
- Provide comfort
- Provide client teaching and discharge planning
10. What could be the cause for diLerent blood pressure in the right arm than the
right leg
- Coarctation of the aorta can cause this
11. Diagnosing Tetralogy of Fallot
- Must have four components
- Pulmonary stenosis
- VSD
- Overriding aorta
- Right ventricular hypertrophy
- Clinical manifestations
- Activity intolerance
- Irritability
- Failure to thrive
- Polycythemia
- Harsh systolic murmur
- Hypercyanotic
12. What is transposition of the great arteries
- Aorta arises from the right ventricle and pulmonary artery from left ventricle,
causing parallel circulation
13. Checking for peripheral perfusion
- Capillary refill (<4 seconds)
- Skin temperature
- Color
- Peripheral pulses
14. Monitor for ______ when giving digoxin
- Toxicity
15. Signs and symptoms of ICP
- Infants
- Irritability
- Poor feeding
- High pitches cry



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