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NURA 2500 Congenital Heart Defects Questions with Answers

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NURA 2500 Congenital Heart Defects Questions with Answers growth spurts, increase activity - Answer-what can cause heart damage in aortic stenosis pulmonic stenosis - Answer-this is a narrowing at the entrance to the pulm artery R vent hypertrophy, decr pulm blood flow, R atrial pressure in...

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  • August 24, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURA 2500 Congenital Heart Defects
  • NURA 2500 Congenital Heart Defects
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NURA 2500 Congenital Heart Defects
Questions with Answers

growth spurts, increase activity - Answer-what can cause heart damage in aortic
stenosis

pulmonic stenosis - Answer-this is a narrowing at the entrance to the pulm artery

R vent hypertrophy, decr pulm blood flow, R atrial pressure increase, can open foramen
ovale and shunt blood to left atrium causing systemic cyanosis - Answer-what does
pulmonic stenosis cause (patho)?

edema, cyanosis, dyspnea, fatigue - Answer-what are the assessment findings of
pulmonic stenosis?

decr pulm blood flow defect - Answer-this is an obstruction of the pulm blood flow and
an anatomic defect between the right and left sides of the heart

TET (Tetralogy of Fallot), Tricuspid Atresia - Answer-list the types of decr pulm blood
flow defects?

- VSD, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy - Answer-
list the four defects of TET?

VSD, overriding aorta - Answer-which two defects of TET allow unoxygenated blood
into circulation (cyanosis)?

pulmonic stenosis, R vent hypertrophy - Answer-which two defects of TET cause bigger
problems?

bluish skin - Answer-TET babies exhibit what during crying or feeding or vagal?

stool softeners - Answer-what is an intervention of prevent vagal in babies with TET?

knees to chest, squat - Answer-what is the nursing intervention for a WITNESSED TET
spell

decr CO - Answer-what does knees to chest or squatting do in a TET spell?

assess (choking?) - Answer-what is the nursing intervention for an UNWITNESSED
TET spell?

, Tricuspid Atresia - Answer-this is failure to the tricuspid valve to develop

Transposition of the great arteries or vessels - Answer-this is a defect where the pulm
artery leave the left vent and the aorta exits the right vent with no communication
between systemic and pulmonic circulation

trunks arteriosus - Answer-this defect is failure to develop normal pulm artery and sort
resulting in a single vessel that overrides both vent

retarded growth, murmur, fatigue, upper resp infection, dyspnea, tachycardia,
tachypnea, clubbing, squatting, hypercyanotic spells - Answer-what are the general
physical consequences of congenital defects?


chromosomal, genetic, maternal factors - Answer-what are the risk factors for CHD
(congenital heart defects)?

drug use, fetal exposure to drugs, environ. toxins, viral illness, rubella, metabolic
disorders, increase maternal age - Answer-what are the maternal risk factors for CHD?

1st seven weeks of pregnancy - Answer-what gestational age does rubella increase the
risk for CHD?

lithium, alcohol, warfarin - Answer-what maternal drug use increases the risk of CHD?

DM, incr Ca - Answer-what maternal metabolic disorders increase the risk for CHD?

murmur - Answer-what is often the first sign of CHD?

murmur, symptoms either immediately after umbilical cord or several days,
asymptomatic - Answer-what is the presentation of CHD?

blood, pulse ox, X-ray, CT, MRI, EKG, Echo, cath, Exercise test - Answer-what are the
diagnostic studies of CHD?

Echo - Answer-what is the gold standard of diagnostic tests for CHD that shows the
structures and hemodynamics of the heart?

incr pulm blood flow - Answer-this is a defect that allows the blood to flow from higher
pressure LEFT to lower pressure RIGHT

left to right - Answer-which was does blood flow in incr pulm blood flow defects?

septum, great vessels - Answer-where are the abnormal connections in incr pulm blood
flow defects?

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