Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Cardiovascular Disorder,100% CORRECT
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NURS MISC
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NURS MISC
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Cardiovascular Disorder
MULTIPLE CHOICE
1. What does the nurse explain that a ventricular septal defect will allow?
a. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis
b. ...
test bank introduction to maternity and pediatric nursing 8e by leifer the child with a cardiovascular disorder
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 238
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by
Leifer) The Child with a Cardiovascular Disorder
MULTIPLE CHOICE
1. What does the nurse explain that a ventricular septal defect will allow?
a. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis
b. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis
c. No shunting because of high pressure in the left ventricle
d. Increased pressure in the left atrium, impeding circulation of oxygenated blood in
the circulating volume
ANS: A
Pulmonary blood flow is increased when a ventricular septal defect exists. The
blood shifts from left to right because of the higher pressure in the left ventricle.
This particular shift does not cause cyanosis.
2. Which assessment would lead the nurse to suspect that a newborn infant has a
ventricular septal defect?
a. A loud, harsh murmur with a systolic thrill
b. Cyanosis when crying
c. Blood pressure higher in the arms than in the legs
d. A machinery-like murmur
ANS: A
A loud, harsh murmur combined with a systolic thrill is characteristic of a
ventricular septal defect.
DIF: Cognitive Level: Comprehension REF: Page 626
TOP: Congenital Heart Disease KEY: Nursing Process Step:
Data Collection MSC: NCLEX: Physiological Integrity:
PhysiNolUoRgiScIaNl GATdBap.CtaOtiMon
3. What finding would the nurse expect when measuring blood pressure on all
four extremities of a child with coarctation of the aorta?
a. Blood pressure higher on the right side
b. Blood pressure higher on the left side
c. Blood pressure lower in the arms than in the legs
d. Blood pressure lower in the legs than in the arms
This study source was downloaded by 100000802531269 from CourseHero.com on 07 -13-2022 19:23:37 GMT -05:00
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 239
ANS: D
The characteristic symptoms of coarctation of the aorta are a marked difference
in blood pressure and pulses between the upper and lower extremities. Pressure is
increased proximal to the defect and decreased distal to the coarctation.
4. A father asks why his child with tetralogy of Fallot seems to favor a squatting
position. What is the nurses best response?
a. Squatting increases the return of venous blood back to the heart.
b. Squatting decreases arterial blood flow away from the heart.
c. Squatting is a common resting position when a child is tachycardic.
d. Squatting increases the workload of the heart.
ANS: A
The squatting position allows the child to breathe more easily because systemic
venous return is increased.
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 240
5. An infant is experiencing dyspnea related to patent ductus arteriosus (PDA).
What does the nurse understand regarding why dyspnea occurs?
a. Blood is circulated through the lungs again, causing pulmonary circulatory
congestion.
b. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia.
c. Blood is shunted past cardiac arteries, causing myocardial hypoxia.
d. Blood is circulated through the ductus from the pulmonary artery to the aorta,
bypassing the left side of the heart.
ANS: A
When PDA is present, oxygenated blood recycles through the lungs, overburdening
the pulmonary circulation.
6. Which is the most appropriate nursing action related to the administration of
digoxin (Lanoxin) to an infant?
a. Counting the apical rate for 30 seconds before administering the medication
b. Withholding a dose if the apical heart rate is less than 100 beats/min
c. Repeating a dose if the child vomits within 30 minutes of the previous dose
d. Checking respiratory rate and blood pressure before each dose
ANS: B
As a rule, if the pulse rate of an infant is below 100 beats/min, the medication is
withheld and the physician is notified.
7. A child develops carditis from rheumatic fever. Which areas of the heart are
affected by carditis?
a. Coronary arteries
b. Heart muscle and the mitral valve
c. Aortic and pulmonic valves
d. Contractility of the ventricles
This study source was downloaded by 100000802531269 from CourseHero.com on 07-13-2022 19:23:37 GMT -05:00
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