NSG 3600 QUESTIONS AND CORRECT
VERIFIED ANSWERS (DETAILED ANSWERS)
|ALREADY GRADED A+ | 2026 UPDATE
Fetal circulation structures
Umbilical vein, umbilical arteries
Foramen ovale
Ductus arteriosus
Ductus venosus
Pediatric indicators of cardiac dysfunction
• Poor Feeding
• Tachypnea/Tachycardia
• Failure to Thrive / Poor Wt. Gain / Activity Intolerance
• Developmental Delays
• Prenatal History: Alcohol, Diabetes Mellitus, Substance Abuse
• Family History
Cardiac disease prevention in pregnancy
No smoking or alcohol consumption
Good prenatal care with folic acid
Family risk factors
Soft vibration over the heart that reflects the transmitted sound of the heart murmur
Thrill
,congestive heart failure
A condition resulting from the heart's inability to pump out all the blood that returns to it; blood
backs up in the veins leading to the heart, causing an accumulation of fluid in various parts of the
body
Symptoms of CHF in children
1. Impaired myocardial fx
2. Tachycardia, fatigue, weakness, restless, pale, cool extremities, decreased BP, decreased urine
output
3. Pulmonary congestion
4. Tachypnea, dyspnea, respiratory distress, exercise intolerance, cyanosis
5. Systemic venous congestion
6. Peripheral and periorbital edema, weight gain, ascites, hepatomegaly, neck vein distention
If a child is cyanotic, try to keep them calm to avoid
having them cry more and lose more oxygen
Digoxin for children
Furosemide for children
heart catheterization
Used to diagnose and do small repairs
Pressure dressing. Check every 15 mins. Kept on for 6 hours.
,Bed rest
Monitor heart rate, RR, and HR
Check pulses distally from insertion
Quite play for 24 hours
CHD in children
atrial septal defect
flaw in the septum that divides the two atria of the heart
ventricular septal defect
large hole between two ventricles lets venous blood pass from the right to the left ventricle and
out to the aorta without oxygenation
ASD and VSD manifestations
Systolic murmur
Possible enlargement
Hepato,egaly due to fluid overload
SOB/resp distress
Periorbital edema
Failure to thrive
ASD and VSD nursing care
, Monitor VS
Monitor for complications
- Chest pain
- palpitations
- hypotension
- anemia
ASD and VSD nursing care
Risk for infection
promote good pulmonary hygiene
Small frequent feedings
Encourage breast feeding
Organize nursing care to allow for rest
ASD and VSD nursing care
Monitor I&Os
limit fluids as ordered
Monitor potassium levels
patent ductus arteriosus (PDA)
VERIFIED ANSWERS (DETAILED ANSWERS)
|ALREADY GRADED A+ | 2026 UPDATE
Fetal circulation structures
Umbilical vein, umbilical arteries
Foramen ovale
Ductus arteriosus
Ductus venosus
Pediatric indicators of cardiac dysfunction
• Poor Feeding
• Tachypnea/Tachycardia
• Failure to Thrive / Poor Wt. Gain / Activity Intolerance
• Developmental Delays
• Prenatal History: Alcohol, Diabetes Mellitus, Substance Abuse
• Family History
Cardiac disease prevention in pregnancy
No smoking or alcohol consumption
Good prenatal care with folic acid
Family risk factors
Soft vibration over the heart that reflects the transmitted sound of the heart murmur
Thrill
,congestive heart failure
A condition resulting from the heart's inability to pump out all the blood that returns to it; blood
backs up in the veins leading to the heart, causing an accumulation of fluid in various parts of the
body
Symptoms of CHF in children
1. Impaired myocardial fx
2. Tachycardia, fatigue, weakness, restless, pale, cool extremities, decreased BP, decreased urine
output
3. Pulmonary congestion
4. Tachypnea, dyspnea, respiratory distress, exercise intolerance, cyanosis
5. Systemic venous congestion
6. Peripheral and periorbital edema, weight gain, ascites, hepatomegaly, neck vein distention
If a child is cyanotic, try to keep them calm to avoid
having them cry more and lose more oxygen
Digoxin for children
Furosemide for children
heart catheterization
Used to diagnose and do small repairs
Pressure dressing. Check every 15 mins. Kept on for 6 hours.
,Bed rest
Monitor heart rate, RR, and HR
Check pulses distally from insertion
Quite play for 24 hours
CHD in children
atrial septal defect
flaw in the septum that divides the two atria of the heart
ventricular septal defect
large hole between two ventricles lets venous blood pass from the right to the left ventricle and
out to the aorta without oxygenation
ASD and VSD manifestations
Systolic murmur
Possible enlargement
Hepato,egaly due to fluid overload
SOB/resp distress
Periorbital edema
Failure to thrive
ASD and VSD nursing care
, Monitor VS
Monitor for complications
- Chest pain
- palpitations
- hypotension
- anemia
ASD and VSD nursing care
Risk for infection
promote good pulmonary hygiene
Small frequent feedings
Encourage breast feeding
Organize nursing care to allow for rest
ASD and VSD nursing care
Monitor I&Os
limit fluids as ordered
Monitor potassium levels
patent ductus arteriosus (PDA)
