NURS 307 Pediatrics Final Exam Quiz 3-6 Study Guides

QUIZ 3 1. The nurse is reviewing risk factors for the development of congenital heart defects with a client that wants to conceive. Which of the following conditions should the nurse include as a maternal risk factor? a. Placenta Previa b. Late prenatal care c. Preeclampsia d. Maternal infection with Rubella 2. The nurse is caring for a patient with Rheumatic Fever. The nurse anticipates which of the following laboratory values? a. Decreased Erythrocyte Sedimentation Rate b. Decreased C - reactive protein level c. Elevated Antistreptolysin O titer d. Elevated Red Blood Cell Count 3. The nurse is providing discharge instructions to a child with a central venous catheter. Which of the following instructions should the nurse include? a. Implement good oral hygiene b. Keep the child on bed rest for 72 hours c. Elevated body temperature is a common characteristic with a central venous catheter. d. Implement home seizure precautions 4. The nurse is assessing an 8-month-old infant for coarctation of the aorta. Which of the following findings is a manifestation of the condition? a. Clubbing of the fingers b. A continuous “machinery murmur” c. Skin warm to touch in the lower extremities d. Lower blood pressure in the legs compared to the arms 5. The nurse is assessing a patient in the community with suspected aortic stenosis. Which statement, made by the caregiver, is a symptom of the suspected diagnosis? a. “I’ve been told my child has a higher blood pressure in her arms thank her legs” b. “My child had a recent throat infection” c. “My child squats often when playing” d. My child has had several syncopal episodes recently” 6. The nurse is providing teaching to parents for a newborn with suspected Tetralogy of Fallot. What should the nurses include are the pathological defects seen in Tetralogy of Fallot? SATA a. Overriding aorta b. Aortic stenosis c. Pulmonary stenosis d. Right ventricular hypertrophy e. Ventricular septal defect f. Foramen Ovale 7. The nurse is caring for an infant 48 hours post heart surgery to correct Tetralogy of Fallot. Which of the following is the nurses greatest concern? a. Capillary refill 2 seconds b. Decreased appetite c. Respiratory rate of 48 bpm d. Decreased level of consciousness 8. The nurse is providing anticipatory guidance to the parents of a school – aged child with Pulmonary Arterial Hypertension. The parents ask the nurse what after- School activity would be most appropriate for their child. What is the nurses best response? a. Soccer b. Chess c. Cross- Country running d. Football 9. A nurse is providing teaching to the mother of an infant who has a prescription for digoxin. Which of the following statements indicated a need for further teaching? a. “My baby can have digoxin with or without food” b. “Digoxin will slow my baby’s heart rate” c. “I should give my baby Digoxin at regularly scheduled times” d. Digoxin will increase my baby heart rate 10. A nurse in the cardiac medical- surgical unit is caring for an infant with a continuous machine- like murmur. Which of the following interventions should the nurse anticipate? a. Administration of Nitroglycerin b. Administration of Prostaglandin c. Administration of Indomethacin d. Administration of Pulmozyme