Maternity ch. 26, 27,28,29 review Exam
Questions & Answers Already Passed
What does the nurse explain that a ventricular septal defect will allow?
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 - SOLVED ANSWER-A
Which assessment would lead the nurse to suspect that a newborn infant has a
ventricular septal defect? 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 - SOLVED ANSWER-A
What finding would the nurse expect when measuring blood pressure on all four
extremities of a child with coarctation of the aorta?
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 - SOLVED ANSWER-D
A father asks why his child with tetralogy of Fallot seems to favor a squatting position.
What is the nurses best response?
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 - SOLVED ANSWER-A
An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). What does
the nurse understand regarding why dyspnea occurs?
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. - SOLVED ANSWER-A
Which is the most appropriate nursing action related to the administration of digoxin
(Lanoxin) to an infant? a. Counting the apical rate for 30 seconds before administering
the medication
b. Withholding a dose if the apical heart rate is less than 100 beats/min
c. Repeating a dose if the child vomits within 30 minutes of the previous dose
d. Checking respiratory rate and blood pressure before each dose - SOLVED
ANSWER-B
A child develops carditis from rheumatic fever. Which areas of the heart are affected by
carditis?
a. Coronary arteries
b. Heart muscle and the mitral valve
c. Aortic and pulmonic valves
d. Contractility of the ventricles - SOLVED ANSWER-B
,Which comment made by a parent of a 1-month-old would alert the nurse about the
presence of a congenital heart defect?
a. He is always hungry.
b. He tires out during feedings.
c. He is fussy for several hours every day. d. He sleeps all the time. - SOLVED
ANSWER-B
The nurse is caring for a child with a diagnosis of Kawasaki disease. The childs parent
asks the nurse, How does Kawasaki disease affect my childs heart and blood vessels?
On what understanding is the nurses response based?
a. Inflammation weakens blood vessels, leading to aneurysm.
b. Increased lipid levels lead to the development of atherosclerosis.
c. Untreated disease causes mitral valve stenosis.
d. Altered blood flow increases cardiac workload with resulting heart failure. - SOLVED
ANSWER-A
The nurse explained how to position an infant with tetralogy of Fallot if the infant
suddenly becomes cyanotic. Which statement by the father leads the nurse to
determine he understood the instructions?
a. If the baby turns blue, I will hold him against my shoulder with his knees bent up
toward his chest.
b. If the baby turns blue, I will lay him down on a firm surface with his head lower than
the rest of his body. c. If the baby turns blue, I will immediately put the baby upright in
an infant seat.
d. If the baby turns blue, I will put the baby in supine position with his head elevated. -
SOLVED ANSWER-A
The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, Why do my
childs fingertips look like that? On what understanding does the nurse base a
response?
, a. Clubbing occurs as a result of untreated congestive heart failure.
b. Clubbing occurs as a result of a left-to-right shunting of blood.
c. Clubbing occurs as a result of decreased cardiac output. d. Clubbing occurs as a
result of chronic hypoxia. - SOLVED ANSWER-D
A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms,
in conjunction with this finding, would confirm a diagnosis of rheumatic fever?
a. Subcutaneous nodules and fever
b. Painful, tender joints and carditis
c. Erythema marginatum and arthralgia
d. Chorea and elevated sedimentation rate - SOLVED ANSWER-B
An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the
nurse recognize as a sign of digoxin toxicity?
a. Restlessness
b. Decreased respiratory rate
c. Increased urinary output d. Vomiting - SOLVED ANSWER-D
Through what does the infant born with hypoplastic left heart syndrome acquire
oxygenated blood? a. The patent ductus arteriosus
b. A ventricular septal defect
c. The closure of the foramen ovale
d. An atrial septal defect - SOLVED ANSWER-D
Through what does the infant born with hypoplastic left heart syndrome acquire
oxygenated blood? a. The patent ductus arteriosus
b. A ventricular septal defect
Questions & Answers Already Passed
What does the nurse explain that a ventricular septal defect will allow?
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 - SOLVED ANSWER-A
Which assessment would lead the nurse to suspect that a newborn infant has a
ventricular septal defect? 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 - SOLVED ANSWER-A
What finding would the nurse expect when measuring blood pressure on all four
extremities of a child with coarctation of the aorta?
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 - SOLVED ANSWER-D
A father asks why his child with tetralogy of Fallot seems to favor a squatting position.
What is the nurses best response?
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 - SOLVED ANSWER-A
An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). What does
the nurse understand regarding why dyspnea occurs?
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. - SOLVED ANSWER-A
Which is the most appropriate nursing action related to the administration of digoxin
(Lanoxin) to an infant? a. Counting the apical rate for 30 seconds before administering
the medication
b. Withholding a dose if the apical heart rate is less than 100 beats/min
c. Repeating a dose if the child vomits within 30 minutes of the previous dose
d. Checking respiratory rate and blood pressure before each dose - SOLVED
ANSWER-B
A child develops carditis from rheumatic fever. Which areas of the heart are affected by
carditis?
a. Coronary arteries
b. Heart muscle and the mitral valve
c. Aortic and pulmonic valves
d. Contractility of the ventricles - SOLVED ANSWER-B
,Which comment made by a parent of a 1-month-old would alert the nurse about the
presence of a congenital heart defect?
a. He is always hungry.
b. He tires out during feedings.
c. He is fussy for several hours every day. d. He sleeps all the time. - SOLVED
ANSWER-B
The nurse is caring for a child with a diagnosis of Kawasaki disease. The childs parent
asks the nurse, How does Kawasaki disease affect my childs heart and blood vessels?
On what understanding is the nurses response based?
a. Inflammation weakens blood vessels, leading to aneurysm.
b. Increased lipid levels lead to the development of atherosclerosis.
c. Untreated disease causes mitral valve stenosis.
d. Altered blood flow increases cardiac workload with resulting heart failure. - SOLVED
ANSWER-A
The nurse explained how to position an infant with tetralogy of Fallot if the infant
suddenly becomes cyanotic. Which statement by the father leads the nurse to
determine he understood the instructions?
a. If the baby turns blue, I will hold him against my shoulder with his knees bent up
toward his chest.
b. If the baby turns blue, I will lay him down on a firm surface with his head lower than
the rest of his body. c. If the baby turns blue, I will immediately put the baby upright in
an infant seat.
d. If the baby turns blue, I will put the baby in supine position with his head elevated. -
SOLVED ANSWER-A
The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, Why do my
childs fingertips look like that? On what understanding does the nurse base a
response?
, a. Clubbing occurs as a result of untreated congestive heart failure.
b. Clubbing occurs as a result of a left-to-right shunting of blood.
c. Clubbing occurs as a result of decreased cardiac output. d. Clubbing occurs as a
result of chronic hypoxia. - SOLVED ANSWER-D
A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms,
in conjunction with this finding, would confirm a diagnosis of rheumatic fever?
a. Subcutaneous nodules and fever
b. Painful, tender joints and carditis
c. Erythema marginatum and arthralgia
d. Chorea and elevated sedimentation rate - SOLVED ANSWER-B
An infant with congestive heart failure is receiving digoxin (Lanoxin). What does the
nurse recognize as a sign of digoxin toxicity?
a. Restlessness
b. Decreased respiratory rate
c. Increased urinary output d. Vomiting - SOLVED ANSWER-D
Through what does the infant born with hypoplastic left heart syndrome acquire
oxygenated blood? a. The patent ductus arteriosus
b. A ventricular septal defect
c. The closure of the foramen ovale
d. An atrial septal defect - SOLVED ANSWER-D
Through what does the infant born with hypoplastic left heart syndrome acquire
oxygenated blood? a. The patent ductus arteriosus
b. A ventricular septal defect
