Unit 2 Practice q 170

A newborn is diagnosed with a CHD. The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as .

• Tetralogy of Fallot

• Patent Ductus Arteriosus

• Ductus Venosus

• Patent Foramen Ovale

TOF involves which defects? Select all that apply.

• Pulmonary Stenosis

• PDA

• Right ventricular hypertrophy

• Overriding (dextroposition) of the aorta

• VSD

Which finding might delay a cardiac catheterization procedure on a 1-year-old?

• 30% for weight

• severe diaper rash

• allergy to soy

• o2 sat of 91% on room air.

The nurse is caring for a child who has undergone a cardiac catheterization. During recovery, the nurse notices the dressing is saturated with bright red blood. The nurse's first action is to:

• 1. Call the interventional cardiologist.

• 2. Notify the cardiac catheterization laboratory that the child will be returning.

• 3. Apply a bulky pressure dressing over the present dressing.

• 4. Apply direct pressure 1 inch above the puncture site.

Which interventions decrease cardiac demands in an infant with CHF? Select all that apply.

• Allow parents to hold and rock their child

• Make frequent position changes

• Change bed linens only when necessary

• Organize nursing activities

• Feed only when the infant is crying

While assessing a newborn with respiratory distress, the nurse auscultates a machinelike heart murmur. Other findings are a wide pulse pressure, periods of apnea, increased PaCO2, and decreased PO2. The nurse suspects that the newborn has:

• Pulmonary hypertension

• PDA

• VSD

• ASD

Which are the most serious complications for a child with KD? Select all that apply.

• Coronary stenosis

• Coronary thrombosis

• Hypocoagulability

• Coronary artery aneurysm

• Decreased sedimentation rate

A child who has reddened eyes with no discharge; red, swollen, and peeling palms and soles of the feet; painful swollen joints, dry, cracked lips; and a strawberry tongue with a negative ASO titer most likely has .

• Rheumatic fever

• Reyes Syndrome

• Kawasaki Disease

• Meningomyelocele

During a well-child checkup for an infant with TOF, the child develops severe respiratory distress and becomes cyanotic. The nurse's first action should be to:

• Lay the child flat to promote hemostasis.

• 2. Lay the child flat with legs elevated to increase blood flow to the heart.

• 3. Sit the child on the parent’s lap, with legs dangling, to promote venous pooling.

• 4. Hold the child in knee-chest position to decrease venous blood return.

A 6-month-old who has episodes of cyanosis after crying could have the CHD of decreased pulmonary blood flow called .