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MARYVILLE MVU PEDI/OB NURS 629
EXAM 3
Risk factors related to elevated cholesterol? - ANS-· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder) - ANS-Tetralogy of Fallot
What is Tetralogy of Fallot? - ANS-a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF - ANS-Boot shaped heart and Rt vent
hypertrophy
What are the common s/s of tetralogy of Fallot? - ANS-*Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia - ANS-Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2
<92%
What to expect of a 2-mo old visual acuity? - ANS-*Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis - ANS-*Starts bilaterally
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*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis - ANS-*Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis - ANS-* Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit? - ANS-*Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? - ANS-Moderate persistant; prescribe inhaled steroid
(flovent)
Causative organism of bronchiolitis - ANS-(RSV) Respiratory syncytial virus most likely
cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety - ANS-functional or innocent murmur
When do innocent murmurs develop? - ANS-(book p 763) age 3-4; (module 10 lect) age
2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing - ANS-pathological
murmur
symptoms of croup - ANS-· Barking cough
· Fever
· URI symptoms
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PEDI_OB NURS 629 EXAM 3.pdfMARYVILLE MVU PEDI_OB NURS 629 EXAM 3.pdf@@@@@@@@@@@@
URS 629
MARYVILLE
EXAM 3.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$
MVU PEDI_OB NURS 629 EXAM 3MARYVILLE MVU PEDI_OB NURS 629 EXAM 3.pdf@@@@@@@@@@@@@
MARYVILLE MVU PEDI/OB NURS 629
EXAM 3
Risk factors related to elevated cholesterol? - ANS-· Obesity
· Diabetes
· Hypertension
· Family history:
o Coronary heart disease prior to age 55
o Hyperlipidemia
o Diabetes
Most common cyanotic cardiac lesion (disorder) - ANS-Tetralogy of Fallot
What is Tetralogy of Fallot? - ANS-a congenital heart condition involving four
abnormalities occurring together:
1) Pulmonary valve stenosis
2) RT vent hypertrophy
3)Vent septum Defect
4)Aorta overrides Vent Septum
What would be seen on X-ray with TOF - ANS-Boot shaped heart and Rt vent
hypertrophy
What are the common s/s of tetralogy of Fallot? - ANS-*Cyanosis (hypoxia)
*SOB w/exercise
*clubbing fingers and toes
*delayed growth
*systolic and holosystolic murmurs
What criteria would you have to consider inpatient admission in a patient with
pneumonia - ANS-Comorbidities: lung dz, congenital Heart dz, DM, grunting child, O2
<92%
What to expect of a 2-mo old visual acuity? - ANS-*Vision of 20/400
*Can fix and follow objects
S/S of viral conjunctivitis - ANS-*Starts bilaterally
@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
OB NURS
MARYVILLE
629 EXAMMVU
3.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
PEDI_OB NURS 629 EXAM 3.pdfMARYVILLE MVU PEDI_OB NURS 629 EXAM 3.pdf@@@@@@@@@@@@
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URS 629
MARYVILLE
EXAM 3.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$
MVU PEDI_OB NURS 629 EXAM 3MARYVILLE MVU PEDI_OB NURS 629 EXAM 3.pdf@@@@@@@@@@@@@
*usually occurs with upper resp tract infection (adenovirus)
*serous(watery) drainage
*injected conjunctiva
*Enlarged or tender preauricular nodes
Clinical findings of of viral conjunctivitis - ANS-*Normal visual acuity
*injected conjunctiva
*Preauricular lymphadenopathy
Treatment of viral conjunctivitis - ANS-* Symptomatic only
* Warm or Cool compresses
* Strict eye/hand hygiene
* avoid contacts for a while
What do you do for a patient with an elevated B/P on initial visit? - ANS-*Repeat in 1-2
weeks and average over 3 visits
*Pt to keep log for review
*Encourage healthy lifestyle choices
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a
week, what's the next step? - ANS-Moderate persistant; prescribe inhaled steroid
(flovent)
Causative organism of bronchiolitis - ANS-(RSV) Respiratory syncytial virus most likely
cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in
up to 80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and
anxiety - ANS-functional or innocent murmur
When do innocent murmurs develop? - ANS-(book p 763) age 3-4; (module 10 lect) age
2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing - ANS-pathological
murmur
symptoms of croup - ANS-· Barking cough
· Fever
· URI symptoms
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OB NURS
MARYVILLE
629 EXAMMVU
3.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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