Question 1

How would the nurse caring for an infant with congestive heart failure (CHF)modify feeding techniques to adapt for the child's weakness and fatigue?

Accepted Answer

A)  Feeding more frequently with smaller feedings 
B)  Using a soft nipple with enlarged holes 
C)  Holding and cuddling the child during feeding 
D)  Substituting glucose water for formula 
E)  Offering high-caloric formula 
A)  Feeding more frequently with smaller feedings 
B)  Using a soft nipple with enlarged holes 
C)  Holding and cuddling the child during feeding 
D)  Substituting glucose water for formula 
E)  Offering high-caloric formula A,B,C,E

Question 2

Because the diagnosis of rheumatic fever is difficult,an aid used to identify the presence of rheumatic fever is the _____________ _______________.

Accepted Answer

Jones criteria
The Jones criteria identify a cluster of symptoms and divide them into major criteria and minor criteria.The formula for making the diagnosis of rheumatic fever is to identify two major criteria in the patient,or one major and two minor criteria.

Question 3

A 16-year-old patient is diagnosed with primary hypertension.What risk factors does the nurse mention when providing education on this diagnosis to the patient and his family?

Accepted Answer

A)  Heredity 
B)  Stress 
C)  Congenital defect 
D)  Obesity 
E)  Poor diet 
A)  Heredity 
B)  Stress 
C)  Congenital defect 
D)  Obesity 
E)  Poor diet A,B,D,E

Question 4

The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the __________ ___________.

Accepted Answer

pulse pressure
The pulse press

Question 5

A child has an elevated antistreptolysin O (ASO)titer.Which combination of symptoms,in conjunction with this finding,would confirm a diagnosis of rheumatic fever?

Accepted Answer

A)  Subcutaneous nodules and fever 
B)  Painful, tender joints and carditis 
C)  Erythema marginatum and arthralgia 
D)  Chorea and elevated sedimentation rate 
A)  Subcutaneous nodules and fever 
B)  Painful, tender joints and carditis 
C)  Erythema marginatum and arthralgia 
D)  Chorea and elevated sedimentation rate

Question 6

Systemic blood pressure increases with age and is correlated with _________ and _________throughout childhood and adolescence.

Accepted Answer

height; weight
Systemic blood pressure i

Question 7

An infant with congestive heart failure is receiving digoxin (Lanoxin).What does the nurse recognize as a sign of digoxin toxicity?

Accepted Answer

A)  Restlessness 
B)  Decreased respiratory rate 
C)  Increased urinary output 
D)  Vomiting 
A)  Restlessness 
B)  Decreased respiratory rate 
C)  Increased urinary output 
D)  Vomiting

Question 8

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic.Which statement by the father leads the nurse to determine he understood the instructions?

Accepted Answer

A)  "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." 
B)  "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." 
C)  "If the baby turns blue, I will immediately put the baby upright in an infant seat." 
D)  "If the baby turns blue, I will put the baby in supine position with his head elevated." 
A)  "If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest." 
B)  "If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body." 
C)  "If the baby turns blue, I will immediately put the baby upright in an infant seat." 
D)  "If the baby turns blue, I will put the baby in supine position with his head elevated."

Question 9

What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)

Accepted Answer

A)  Hypertrophied right ventricle 
B)  Patent ductus arteriosus 
C)  Ventral septal defect 
D)  Narrowing of pulmonary artery 
E)  Dextroposition of aorta 
A)  Hypertrophied right ventricle 
B)  Patent ductus arteriosus 
C)  Ventral septal defect 
D)  Narrowing of pulmonary artery 
E)  Dextroposition of aorta

Question 10

Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect?

Accepted Answer

A)  "He is always hungry." 
B)  "He tires out during feedings." 
C)  "He is fussy for several hours every day." 
D)  "He sleeps all the time." 
A)  "He is always hungry." 
B)  "He tires out during feedings." 
C)  "He is fussy for several hours every day." 
D)  "He sleeps all the time."

Question 11

How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?

Accepted Answer

A)  1 year 
B)  2 years 
C)  5 years 
D)  10 years 
A)  1 year 
B)  2 years 
C)  5 years 
D)  10 years

Question 12

A child develops carditis from rheumatic fever.Which areas of the heart are affected by carditis?

Accepted Answer

A)  Coronary arteries 
B)  Heart muscle and the mitral valve 
C)  Aortic and pulmonic valves 
D)  Contractility of the ventricles 
A)  Coronary arteries 
B)  Heart muscle and the mitral valve 
C)  Aortic and pulmonic valves 
D)  Contractility of the ventricles

Question 13

The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.

Accepted Answer

ventricular septal
V

Question 14

What is accurate about the characteristics of high-density lipoproteins (HDLs)?

Accepted Answer

A)  They have high amounts of triglycerides. 
B)  They have only small amounts of protein. 
C)  They have little cholesterol. 
D)  They aid in steroid production. 
A)  They have high amounts of triglycerides. 
B)  They have only small amounts of protein. 
C)  They have little cholesterol. 
D)  They aid in steroid production.

Question 15

A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur.What diagnostic test does the nurse anticipate?

Accepted Answer

A)  Barium swallow 
B)  Chest x-ray 
C)  Electrocardiogram 
D)  Echocardiogram 
A)  Barium swallow 
B)  Chest x-ray 
C)  Electrocardiogram 
D)  Echocardiogram

Question 16

What should the school nurse recommend when encouraging a heart-healthy diet for a child with high cholesterol?

Accepted Answer

A)  A fat intake reduction of 5-10% of total calories 
B)  A fat intake reduction of 10-15% of total calories 
C)  A fat intake reduction of 15-20% of total calories 
D)  A fat intake reduction of 25-35% of total calories 
A)  A fat intake reduction of 5-10% of total calories 
B)  A fat intake reduction of 10-15% of total calories 
C)  A fat intake reduction of 15-20% of total calories 
D)  A fat intake reduction of 25-35% of total calories

Question 17

The nurse is caring for a child with a diagnosis of Kawasaki disease.The child's parent asks the nurse,"How does Kawasaki disease affect my child's heart and blood vessels?" On what understanding is the nurse's response based?

Accepted Answer

A)  Inflammation weakens blood vessels, leading to aneurysm. 
B)  Increased lipid levels lead to the development of atherosclerosis. 
C)  Untreated disease causes mitral valve stenosis. 
D)  Altered blood flow increases cardiac workload with resulting heart failure. 
A)  Inflammation weakens blood vessels, leading to aneurysm. 
B)  Increased lipid levels lead to the development of atherosclerosis. 
C)  Untreated disease causes mitral valve stenosis. 
D)  Altered blood flow increases cardiac workload with resulting heart failure.

Question 18

The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?

Accepted Answer

A)  Clubbing occurs as a result of untreated congestive heart failure. 
B)  Clubbing occurs as a result of a left-to-right shunting of blood. 
C)  Clubbing occurs as a result of decreased cardiac output. 
D)  Clubbing occurs as a result of chronic hypoxia. 
A)  Clubbing occurs as a result of untreated congestive heart failure. 
B)  Clubbing occurs as a result of a left-to-right shunting of blood. 
C)  Clubbing occurs as a result of decreased cardiac output. 
D)  Clubbing occurs as a result of chronic hypoxia.

Question 19

________________________is designed to serve the metabolic needs during intrauterine life and also to permit safe transition to life outside the womb.

Accepted Answer

Fetal circulation
Fetal circul

Question 20

A father asks why his child with tetralogy of Fallot seems to favor a squatting position.What is the nurse's best response?

Accepted Answer

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. 
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.

Exam 26: The Child with a Cardiovascular Disorder

How would the nurse caring for an infant with congestive heart failure (CHF)modify feeding techniques to adapt for the child's weakness and fatigue?

Because the diagnosis of rheumatic fever is difficult,an aid used to identify the presence of rheumatic fever is the _____________ _______________.

A 16-year-old patient is diagnosed with primary hypertension.What risk factors does the nurse mention when providing education on this diagnosis to the patient and his family?

The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the __________ ___________.

A child has an elevated antistreptolysin O (ASO)titer.Which combination of symptoms,in conjunction with this finding,would confirm a diagnosis of rheumatic fever?

Systemic blood pressure increases with age and is correlated with _________ and _________throughout childhood and adolescence.

An infant with congestive heart failure is receiving digoxin (Lanoxin).What does the nurse recognize as a sign of digoxin toxicity?

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic.Which statement by the father leads the nurse to determine he understood the instructions?

What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select the four that apply.)

Which comment made by a parent of a 1-month-old would alert the nurse about the presence of a congenital heart defect?

How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?

A child develops carditis from rheumatic fever.Which areas of the heart are affected by carditis?

The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.

What is accurate about the characteristics of high-density lipoproteins (HDLs)?

A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur.What diagnostic test does the nurse anticipate?

What should the school nurse recommend when encouraging a heart-healthy diet for a child with high cholesterol?

The nurse is caring for a child with a diagnosis of Kawasaki disease.The child's parent asks the nurse,"How does Kawasaki disease affect my child's heart and blood vessels?" On what understanding is the nurse's response based?

The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?

________________________is designed to serve the metabolic needs during intrauterine life and also to permit safe transition to life outside the womb.

A father asks why his child with tetralogy of Fallot seems to favor a squatting position.What is the nurse's best response?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

Because the diagnosis of rheumatic fever is difficult,an aid used to identify the presence of rheumatic fever is the _ ___.

The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the _.

Systemic blood pressure increases with age and is correlated with _ and _throughout childhood and adolescence.

The nurse takes into consideration that the most common congenital heart defect is the defect.