NUR 254 Exam 3 2025: Study Guide & Practice Tests

age 1 of 48




NUR 254 Exam 3 | Maternal and Pediatrics TEST

STUDY GUIDE 2025/2026 QUESTIONS BANK AND

CORRECT DETAILED ANSWERS WITH RATIONALES ||

100% GUARANTEED PASS <RECENT VERSION>

ventricular septal defect ......ANSWER........A-CYANOTIC=

INCREASED BLOOD FLOW


SXS: respiratory infection, poor feeding, fluid in lungs


**most common**


atrial septal defect ......ANSWER........A-CYANOTIC= INCREASED

BLOOD FLOW


SXS: murmur, resp distress, resp infection, SOB, poor feeding


**Leads to CHF**

,age 2 of 48




FLACC scale ......ANSWER........Leg position, activity, consolibility,

facial expressions, crying 2mths-7yrs


Culture ......ANSWER........offer other options in conjunction with

their norms


congenital heart defects ......ANSWER........abnormalities present

in the heart at birth


acquired heart disease ......ANSWER........Heart disease that

arises after birth, usually from infection


patent ductus arteriosus ......ANSWER........A-CYANOTIC=

INCREASED BLOOD FLOW


SXS: sweating while feeding, increased weight gain, poor

oxygenation

,age 3 of 48




coarcation of the aorta ......ANSWER........ACYANOTIC=

Obstructive defect


SXS: BP increased in UE, BP decreased in LE, headache, LE

thready pulse


aortic stenosis ......ANSWER........ACYANOTIC= Obstructive

defect


SXS: chest pain, syncope, fatigue, exercise intolerance


Pulmonic Stenosis ......ANSWER........ACYANOTIC= Obstructive

defect


Tetraology of Fallot ......ANSWER........CYANOTIC= Decreased

blood flow


Issues with: pulmonic stenosis, overriding aortic arch, VSD, right

ventricular hypertrophy

, age 4 of 48




SXS: squatting, cyanosis, clubbing, syncope


NI: KNEES TO CHEST FIRST


Cardiac Cath ......ANSWER........Invasive


- blood thinners prior to cath


- contrast


NI:


- lay straight 4-6 hrs


- monitor VS (pulses)


- no tub baths


- if bleeding occurs hold pressure 1 cm above site


- feed after procedure (monitor BS)