NURS 4431 PEDIATRICS UTA EXAM 2 | QUESTIONS
AND ANSWERS | 2025/2026 | 100% CORRECT
four defects in tetralogy of Fallot. Answer - Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell Answer - sudden change - deep blue skin with possible deep,
rapid, shallow breathing
Treatment at home for Tet spell Answer - place child in knee-chest position,
squatting, or on shoulder with knees bent
Only treatment to fix TOF Answer - surgery
Hospital treatment of Tet spell Answer - supplemental oxygen, fluids,
MS/Propanalol
Tricuspid Atresia 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 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 Answer - surgery
acute rheumatic fever Answer - occurs 2-4 weeks after strep infection, lasts 6-
12 weeks, may recur with subsequent strep infections
S/S of ARF 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 Answer - Jones criteria: elevated CRP/ESR, positive
streptococcal titer
management of ARF 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 Answer - autoimmune systemic vasculitis, 6mo-5years. self-
limiting syndrome with possible serious CV complications: coronary artery
aneurism/cardiomyopathy
S/S of kawasaki disease 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 Answer - high fever, red tongue, red
conjuctiva/eyes, red swollen hands/feet
subacute phase of kawasaki disease Answer - cracked lips, peeling
fingers/toes, joint pain, worried about coronary artery aneurism
convalescent phase of kawasaki disease Answer - look terrible and we are
concerned about heart. May have diarrhea because GI is not perfusing as it
should
Treatment of kawasaki disease Answer - Acetaminophen only! avoid NSAIDs.
monitor I/O, cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias Answer - urethral opening on ventral side (underside) of penis
epispadias Answer - urethral opening on dorsal side (top) of penis
chordee Answer - curved penis due to fibrous tissue
assessment findings of male GU disorders 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 Answer - surgery to normalize urination, allow
normal sexual function. repaired at 6-12 months, no circumcision until repair
completed
primary HTN Answer - blood pressure rises as time goes on, not due to
underlying cause
AND ANSWERS | 2025/2026 | 100% CORRECT
four defects in tetralogy of Fallot. Answer - Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell Answer - sudden change - deep blue skin with possible deep,
rapid, shallow breathing
Treatment at home for Tet spell Answer - place child in knee-chest position,
squatting, or on shoulder with knees bent
Only treatment to fix TOF Answer - surgery
Hospital treatment of Tet spell Answer - supplemental oxygen, fluids,
MS/Propanalol
Tricuspid Atresia 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 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 Answer - surgery
acute rheumatic fever Answer - occurs 2-4 weeks after strep infection, lasts 6-
12 weeks, may recur with subsequent strep infections
S/S of ARF 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 Answer - Jones criteria: elevated CRP/ESR, positive
streptococcal titer
management of ARF 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 Answer - autoimmune systemic vasculitis, 6mo-5years. self-
limiting syndrome with possible serious CV complications: coronary artery
aneurism/cardiomyopathy
S/S of kawasaki disease 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 Answer - high fever, red tongue, red
conjuctiva/eyes, red swollen hands/feet
subacute phase of kawasaki disease Answer - cracked lips, peeling
fingers/toes, joint pain, worried about coronary artery aneurism
convalescent phase of kawasaki disease Answer - look terrible and we are
concerned about heart. May have diarrhea because GI is not perfusing as it
should
Treatment of kawasaki disease Answer - Acetaminophen only! avoid NSAIDs.
monitor I/O, cardiac status, decrease stimulation, hydrate, monitor temp
hypospadias Answer - urethral opening on ventral side (underside) of penis
epispadias Answer - urethral opening on dorsal side (top) of penis
chordee Answer - curved penis due to fibrous tissue
assessment findings of male GU disorders 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 Answer - surgery to normalize urination, allow
normal sexual function. repaired at 6-12 months, no circumcision until repair
completed
primary HTN Answer - blood pressure rises as time goes on, not due to
underlying cause
