Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
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Chapter 26: The Child with a Cardiovascular Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Blood to shunt left to right, causing increased pulmonary flow and no cyanosis |
| b. | Blood to shunt right to left, causing decreased pulmonary flow and cyanosis |
| c. | No shunting because of high pressure in the left ventricle |
| d. | Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume |
ANS: A
Pulmonary blood flow is increased when a ventricular septal defect exists. The blood shifts from left to right because of the higher pressure in the left ventricle. This particular shift does not cause cyanosis.
DIF: Cognitive Level: Comprehension REF: Page 608 OBJ: 4
TOP: Congenital Heart Disease KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | A loud, harsh murmur with a systolic thrill |
| b. | Cyanosis when crying |
| c. | Blood pressure higher in the arms than in the legs |
| d. | A machinery-like murmur |
ANS: A
A loud, harsh murmur combined with a systolic thrill is characteristic of a ventricular septal defect.
DIF: Cognitive Level: Comprehension REF: Page 608 OBJ: 4
TOP: Congenital Heart Disease KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Blood pressure higher on the right side |
| b. | Blood pressure higher on the left side |
| c. | Blood pressure lower in the arms than in the legs |
| d. | Blood pressure lower in the legs than in the arms |
ANS: D
The characteristic symptoms of coarctation of the aorta are a marked difference in blood pressure and pulses between the upper and lower extremities. Pressure is increased proximal to the defect and decreased distal to the coarctation.
DIF: Cognitive Level: Comprehension REF: Page 609 OBJ: 4
TOP: Congenital Heart Disease KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| 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. |
ANS: A
The squatting position allows the child to breathe more easily because systemic venous return is increased.
DIF: Cognitive Level: Comprehension REF: Page 609 OBJ: 4
TOP: Congenital Heart Disease KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Blood is circulated through the lungs again, causing pulmonary circulatory congestion. |
| b. | Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia. |
| c. | Blood is shunted past cardiac arteries, causing myocardial hypoxia. |
| d. | Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart. |
ANS: A
When PDA is present, oxygenated blood recycles through the lungs, overburdening the pulmonary circulation.
DIF: Cognitive Level: Comprehension REF: Page 608-609
OBJ: 4 TOP: Congenital Heart Disease
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.