NURS 4431 PEDIATRICS UTA EXAM 2 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. four defects in tetralogy of Fallot.
Answer:
Pulmonary artery stenosis; hypertrophy of the right ventricle; overriding aorta; and ventricular septal
defect.
Question:
2. Cyanotic Tet Spell
Answer:
sudden change - deep blue skin with possible deep, rapid, shallow breathing
Question:
3. Treatment at home for Tet spell
Answer:
place child in knee-chest position, squatting, or on shoulder with knees bent
Question:
4. Only treatment to fix TOF
Answer:
surgery
Question:
5. Hospital treatment of Tet spell
Answer:
supplemental oxygen, fluids, MS/Propanalol
Question:
6. Tricuspid Atresia
Answer:
tricuspid valve fails to develop -> no opening -> no blood flow to lungs for R side
-> blood flows back to R side of heart and mixes at foramen ovale, any blood to lungs enters ductus
arteriosus to go to lungs. Lower oxygen saturation
Question:
7. S/S of tricuspid atresia
Answer:
cyanosis at birth when DA closes, tachypnea, feeding difficulty, cyanosis, poor or weak sucking, ^ WOB,
heart murmur, crackles or wheezes if HF, cool/clammy skin, clubbing
Question:
8. Only treatment of tricuspid atresia
, Answer:
surgery
Question:
9. acute rheumatic fever
Answer:
occurs 2-4 weeks after strep infection, lasts 6-12 weeks, may recur with subsequent strep infections
Question:
10. S/S of ARF
Answer:
joints inflamed, sydenham chorea (jerky movements of face/extremeties), rash, murmur, nodules of
wrists/elbows/knees, chronic progressive damage to heart and valves
Question:
11. Diagnosis of ARF
Answer:
Jones criteria: elevated CRP/ESR, positive streptococcal titer
Question:
12. management of ARF
Answer:
manage inflammation/fever, eradicate bacteria, prevent further heart damage, monthly injection of
penicillin G or daily oral penicillin, or erythromycin prophylaxis until adulthood
Question:
13. Kawasaki disease
Answer:
autoimmune systemic vasculitis, 6mo-5years. self-limiting syndrome with possible serious CV
complications: coronary artery aneurism/cardiomyopathy
Question:
14. S/S of kawasaki disease
Answer:
fever, chills, HA, malaise, extreme irritability, vomiting, diarrhea, abdominal pain, joint pain, conjuctival
hyperemia, rash, hand/feet edema, erythema/painful induration on palms, PEELING FINGERS/TOES,
lymphadenopathy, possible jaundice
Question:
15. acute phase of kawasaki disease
Answer:
high fever, red tongue, red conjuctiva/eyes, red swollen hands/feet
Question:
16. subacute phase of kawasaki disease
Answer:
cracked lips, peeling fingers/toes, joint pain, worried about coronary artery aneurism
QUESTIONS AND CORRECT ANSWERS
Question:
1. four defects in tetralogy of Fallot.
Answer:
Pulmonary artery stenosis; hypertrophy of the right ventricle; overriding aorta; and ventricular septal
defect.
Question:
2. Cyanotic Tet Spell
Answer:
sudden change - deep blue skin with possible deep, rapid, shallow breathing
Question:
3. Treatment at home for Tet spell
Answer:
place child in knee-chest position, squatting, or on shoulder with knees bent
Question:
4. Only treatment to fix TOF
Answer:
surgery
Question:
5. Hospital treatment of Tet spell
Answer:
supplemental oxygen, fluids, MS/Propanalol
Question:
6. Tricuspid Atresia
Answer:
tricuspid valve fails to develop -> no opening -> no blood flow to lungs for R side
-> blood flows back to R side of heart and mixes at foramen ovale, any blood to lungs enters ductus
arteriosus to go to lungs. Lower oxygen saturation
Question:
7. S/S of tricuspid atresia
Answer:
cyanosis at birth when DA closes, tachypnea, feeding difficulty, cyanosis, poor or weak sucking, ^ WOB,
heart murmur, crackles or wheezes if HF, cool/clammy skin, clubbing
Question:
8. Only treatment of tricuspid atresia
, Answer:
surgery
Question:
9. acute rheumatic fever
Answer:
occurs 2-4 weeks after strep infection, lasts 6-12 weeks, may recur with subsequent strep infections
Question:
10. S/S of ARF
Answer:
joints inflamed, sydenham chorea (jerky movements of face/extremeties), rash, murmur, nodules of
wrists/elbows/knees, chronic progressive damage to heart and valves
Question:
11. Diagnosis of ARF
Answer:
Jones criteria: elevated CRP/ESR, positive streptococcal titer
Question:
12. management of ARF
Answer:
manage inflammation/fever, eradicate bacteria, prevent further heart damage, monthly injection of
penicillin G or daily oral penicillin, or erythromycin prophylaxis until adulthood
Question:
13. Kawasaki disease
Answer:
autoimmune systemic vasculitis, 6mo-5years. self-limiting syndrome with possible serious CV
complications: coronary artery aneurism/cardiomyopathy
Question:
14. S/S of kawasaki disease
Answer:
fever, chills, HA, malaise, extreme irritability, vomiting, diarrhea, abdominal pain, joint pain, conjuctival
hyperemia, rash, hand/feet edema, erythema/painful induration on palms, PEELING FINGERS/TOES,
lymphadenopathy, possible jaundice
Question:
15. acute phase of kawasaki disease
Answer:
high fever, red tongue, red conjuctiva/eyes, red swollen hands/feet
Question:
16. subacute phase of kawasaki disease
Answer:
cracked lips, peeling fingers/toes, joint pain, worried about coronary artery aneurism
