Exam 25: Cardiac Structural Disorders

To improve ventricular contractility in a child with a ventricular septal defect, the nurse would expect to administer:

Which finding should the nurse anticipate in an infant with coarctation of the aorta?

The nurse, assessing a patient with endocarditis, notes small red painful growths on the fingers and toe pads. The nurse documents these findings as:

What response should the nurse give, while teaching a prenatal class, when asked when cardiac defects occur?

When teaching a prenatal class, the nurse tells the class that the first fetal heart beat occurs:

What is the best response by the nurse when the mother of a 24-hour-old newborn asks why her baby is being screened for congenital heart disease?

Which intervention should the nurse anticipate performing first after the birth of an infant with hypoplastic left heart syndrome?

When assessing a patient with Ebstein anomaly, the nurse should assess for an anomaly of which heart valve?

Which finding would alert the nurse to a potential problem in a newborn undergoing critical congenital heart disease testing?

Which information should the nurse include in the teaching plan for a patient receiving a biologic valve replacement?

When performing a screening for critical congenital heart disease (CCHD), where should the nurse obtain the preductal pulse oximeter reading?

What is the best response for the nurse to make when the parents of an infant, born with a congenital heart defect, ask the cause of the condition?

An experienced labor and delivery nurse is orienting nurses new to labor and delivery. Which of the following does the experienced nurse teach about fetal circulation?

When assessing a newborn immediately after birth, which concept should the nurse keep in mind?

Which medication would the nurse give to prevent renal reabsorption of sodium and chloride in the infant with pulmonary congestion secondary to congenital heart disease?

The nurse is explaining the goals of the Congenital Heart Disease Genetic Network Study (CHD GENES) to a couple considering genetic screening for congenital defects. Which statement by a parent indicates that more teaching is needed?

The nurse is performing a cardiac assessment on a newborn. Which findings would the nurse expect in a grade 4 murmur?

When assessing a baby for a murmur caused by an atrial septal defect, where should the nurse place the stethoscope?

Which finding would the nurse expect to auscultate in a patient with rheumatic heart disease causing mitral stenosis?

Which compensatory position will the nurse observe in a child with tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell?