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NUR 4410 Exam 2 Study Questions and Answers

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  • NUR 2024/2025

NUR 4410 Exam 2 Study Questions and Answers The heart and other components of the circulatory system begin to develop from the mesoderm during the ____ week of gestation and are completely forms by the _______ week. - Ans:-fourth and eighth cardiac output - Ans:-the volume of blood ejected by t...

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  • October 24, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 2024/2025
  • NUR 2024/2025
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NUR 4410 Exam 2 Study Questions and
Answers

The heart and other components of the circulatory system begin to develop from the mesoderm during

the ____ week of gestation and are completely forms by the _______ week. - Ans:✔✔-fourth and eighth


cardiac output - Ans:✔✔-the volume of blood ejected by the heart in 1 minute


contraction = - Ans:✔✔-systole


relaxation= - Ans:✔✔-diastole


mothers with a history of lupus erythematosus snd diabetes put at risk their child for - Ans:✔✔-heart

disease


What kids have a lot of heart defects? - Ans:✔✔-Down syndrome


The heart begins to form at __ weeks gestation. - Ans:✔✔-3


The heart beats at what day? - Ans:✔✔-28 days gestation


Normal fetal shunts are - Ans:✔✔-the ductus venous, foramen ovale, and ductus arteriosus


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FIRST PUBLISH OCTOBER 2024




a newborns and infants heart rate ranges from ______-_____ BPM - Ans:✔✔-100-180


What are some of the causes of defects, contributing to the mother? - Ans:✔✔-smoking, diabetic moms,

HTN, medications (seizure meds), viruses (rubella/chicken pox)


The nurse is assessing a newborn and notices that the chest wall is sort of a barrel shape, this finding is?

- Ans:✔✔-Normal


What are some diagnostic tests that can be completed when looking for abnormalities of the heart and

shunts? - Ans:✔✔-cardiac enzymes (but usually not tested), x-ray, pulse ox, ECG, ECHO, holter monitor


Cardiac catheterization can be completed how? - Ans:✔✔-usually through the right and left leg or

sometimes even through the liver


Before a child goes to the cath lab for catheterization the nurse should prep how? - Ans:✔✔-vitals,

electrolyte monitoring, neuro checks, NPO (6hrs), pedal pulses, and aware of allergies


After the child returns from the cath lab the nurse should? - Ans:✔✔-take vitals every 15-30 mins, look

at the dressing and assess, check for pulses, check color and temperature of extremities especially legs,

put on CLEAR liquid diet


Congenital heart disease can mainly be caused by what in kids? - Ans:✔✔-viruses


Kids usually have ______ heart failure. - Ans:✔✔-simultaneous




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DO NOT feed tachypneic patients when their RR is - Ans:✔✔-100-110


What is the main indicator of heart disease in children? - Ans:✔✔-weight gain (from fluids)


the formula (formula)= - Ans:✔✔-1 scoop of powder to 2oz of water


A patient has CHD what is the nursing care for this child? - Ans:✔✔-PROMOTE rest, HOB raised or put in

a bouncy seat, limit volumes in formula, NG tube (if baby because they loose energy quickly when

feeding), CAN use breast milk but put it in a bottle, monitor oxygen, medications (Digoxin and Lasix)


What are the two main drugs given for CHD? - Ans:✔✔-Digoxin (slows HR and improves contractility and

Lasix (gets rid of excess fluids)


Why are shunt defects seen so often in premies? - Ans:✔✔-because their shunts aren't fully

developed/closed


failure of the ductus arteriosus, which is the artery connecting the aorta and the pulmonary artery, to

close within the first weeks of life. left-right shunt - Ans:✔✔-PDA (patent ductus arteriosus)


What are the s/s of PDA? - Ans:✔✔-respiratory problems, pulmonary HTN, heart failure signs,


What is the treatment of PDA? - Ans:✔✔-indomethacin (IVIG), surgical ligation/left thoracotomy, or coils

embolization to occlude


Diagnosis of PDA? - Ans:✔✔-ECHO, x-ray, hear a murmur ("machinery like")


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