NURS 4431 Pediatrics UTA Exam 2 || 100% Detailed Answers.
four defects in tetralogy of Fallot. correct answers Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell correct answers sudden change - deep blue skin with possible deep, rapid,
shallow breathing
Treatment at home for Tet spell correct answers place child in knee-chest position, squatting, or
on shoulder with knees bent
Only treatment to fix TOF correct answers surgery
Hospital treatment of Tet spell correct answers supplemental oxygen, fluids, MS/Propanalol
Tricuspid Atresia correct answers 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
S/S of tricuspid atresia correct answers 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
Only treatment of tricuspid atresia correct answers surgery
acute rheumatic fever correct answers occurs 2-4 weeks after strep infection, lasts 6-12 weeks,
may recur with subsequent strep infections
, S/S of ARF correct answers joints inflamed, sydenham chorea (jerky movements of
face/extremeties), rash, murmur, nodules of wrists/elbows/knees, chronic progressive damage to
heart and valves
Diagnosis of ARF correct answers Jones criteria: elevated CRP/ESR, positive streptococcal titer
management of ARF correct answers manage inflammation/fever, eradicate bacteria, prevent
further heart damage, monthly injection of penicillin G or daily oral penicillin, or erythromycin
prophylaxis until adulthood
Kawasaki disease correct answers autoimmune systemic vasculitis, 6mo-5years. self-limiting
syndrome with possible serious CV complications: coronary artery aneurism/cardiomyopathy
S/S of kawasaki disease correct answers 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
acute phase of kawasaki disease correct answers high fever, red tongue, red conjuctiva/eyes, red
swollen hands/feet
subacute phase of kawasaki disease correct answers cracked lips, peeling fingers/toes, joint pain,
worried about coronary artery aneurism
convalescent phase of kawasaki disease correct answers look terrible and we are concerned about
heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease correct answers Acetaminophen only! avoid NSAIDs. monitor
I/O, cardiac status, decrease stimulation, hydrate, monitor temp
four defects in tetralogy of Fallot. correct answers Pulmonary artery stenosis;
hypertrophy of the right ventricle;
overriding aorta;
and ventricular septal defect.
Cyanotic Tet Spell correct answers sudden change - deep blue skin with possible deep, rapid,
shallow breathing
Treatment at home for Tet spell correct answers place child in knee-chest position, squatting, or
on shoulder with knees bent
Only treatment to fix TOF correct answers surgery
Hospital treatment of Tet spell correct answers supplemental oxygen, fluids, MS/Propanalol
Tricuspid Atresia correct answers 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
S/S of tricuspid atresia correct answers 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
Only treatment of tricuspid atresia correct answers surgery
acute rheumatic fever correct answers occurs 2-4 weeks after strep infection, lasts 6-12 weeks,
may recur with subsequent strep infections
, S/S of ARF correct answers joints inflamed, sydenham chorea (jerky movements of
face/extremeties), rash, murmur, nodules of wrists/elbows/knees, chronic progressive damage to
heart and valves
Diagnosis of ARF correct answers Jones criteria: elevated CRP/ESR, positive streptococcal titer
management of ARF correct answers manage inflammation/fever, eradicate bacteria, prevent
further heart damage, monthly injection of penicillin G or daily oral penicillin, or erythromycin
prophylaxis until adulthood
Kawasaki disease correct answers autoimmune systemic vasculitis, 6mo-5years. self-limiting
syndrome with possible serious CV complications: coronary artery aneurism/cardiomyopathy
S/S of kawasaki disease correct answers 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
acute phase of kawasaki disease correct answers high fever, red tongue, red conjuctiva/eyes, red
swollen hands/feet
subacute phase of kawasaki disease correct answers cracked lips, peeling fingers/toes, joint pain,
worried about coronary artery aneurism
convalescent phase of kawasaki disease correct answers look terrible and we are concerned about
heart. May have diarrhea because GI is not perfusing as it should
Treatment of kawasaki disease correct answers Acetaminophen only! avoid NSAIDs. monitor
I/O, cardiac status, decrease stimulation, hydrate, monitor temp
