Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 33: Child With a Cardiac Condition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which statement accurately describes the structures of the heart?
| 1) | The right atrium is a reservoir, or collecting chamber, for the peripheral venous return. |
| 2) | The left ventricle receives blood from the right atrium and pumps it into the lungs via the pulmonary artery. |
| 3) | The right ventricle receives blood from the left atrium and pumps it into the systemic circulation via the aorta. |
| 4) | The left atrium receives deoxygenated blood from the entire body (except the lungs) through the superior and inferior venae cavae with an approximate saturation of 100%. |
____ 2. Which heart valve connects the right atrium to the right ventricle and is composed of “doors” that open to allow blood flow into the adjoining chamber and shut to prevent backflow?
| 1) | Mitral valve |
| 2) | Aortic valve |
| 3) | Tricuspid valve |
| 4) | Pulmonary valve |
____ 3. An infant with Down’s syndrome is diagnosed with a heart condition. The parents state, “The doctor says our baby has a large hole in the center of his heart.” Which congenital heart condition does the nurse suspect?
| 1) | Pulmonary atresia |
| 2) | Pulmonic valve stenosis |
| 3) | Ventricular septal defect |
| 4) | Atrioventricular canal defect |
____ 4. Which cardiac condition should the nurse suspect for a neonate who is experiencing a pressure gradient between the arms and legs when blood pressure is assessed?
| 1) | Tricuspid atresia |
| 2) | Conal truncal defects |
| 3) | Coarctation of the aorta (CoA) |
| 4) | Transposition of the great arteries |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 33: Child With a Cardiac Condition
Chapter learning objective: Describe the overall anatomy and physiology of the cardiovascular system in the fetus, newborn, and child.
Chapter page reference: 546-547
Heading: The Development of the Cardiovascular System
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Perfusion
Difficulty: Easy
| Feedback | |
| 1 | The right atrium of the heart is the collecting chamber for the peripheral vascular system. This statement provides an accurate description of the heart. |
| 2 | This statement does not accurately describe the structures of the heart. |
| 3 | This statement does not accurately describe the structures of the heart. |
| 4 | This statement does not accurately describe the structures of the heart. |
PTS: 1 CON: Perfusion
Chapter number and title: 33: Child With a Cardiac Condition
Chapter learning objective: Describe the overall anatomy and physiology of the cardiovascular system in the fetus, newborn, and child.
Chapter page reference: 548
Heading: Postnatal Blood Flow
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Knowledge [Remembering]
Concept: Perfusion
Difficulty: Easy
| Feedback | |
| 1 | This is not the action of the mitral valve. |
| 2 | This is not the action of the aortic valve. |
| 3 | This is the action of the tricuspid valve. |
| 4 | This is not the action of the pulmonary valve. |
PTS: 1 CON: Perfusion
Chapter number and title: 33: Child With a Cardiac Condition
Chapter learning objective: Differentiate between the most common congenital cardiac conditions found in infants and children.
Chapter page reference: 556-557
Heading: Acyanotic Heart Defects
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Perfusion
Difficulty: Easy
| Feedback | |
| 1 | The nurse does not suspect pulmonary atresia on the basis of the parental statement. |
| 2 | The nurse does not suspect pulmonic valve stenosis on the basis of the parental statement. |
| 3 | The nurse does not suspect ventricular septal defect on the basis of the parental statement. |
| 4 | An atrioventricular canal defect is often described as a large hole in the center of the heart. |
PTS: 1 CON: Perfusion
Chapter number and title: 33: Child With a Cardiac Condition
Chapter learning objective: Differentiate between the most common congenital cardiac conditions found in infants and children.
Chapter page reference: 557
Heading: Acyanotic Heart Defects
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Perfusion
Difficulty: Easy
| Feedback | |
| 1 | A pressure gradient is not anticipated with tricuspid atresia. |
| 2 | A pressure gradient is not anticipated with conal truncal defects. |
| 3 | A pressure gradient is anticipated with CoA. |
| 4 | A pressure gradient is not anticipated with transposition of the great arteries. |
PTS: 1 CON: Perfusion
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