Exam3: NUR 254 | Galen College | 2025 Complete Maternal & Pediatric Nursing.

NUR254




Exam3: NUR 254 | Galen College | 2025
Complete Maternal & Pediatric Nursing.


1. ventricular septal defect: A-CYANOTIC= INCREASED BLOOD

FLOW

SXS: respiratory infection, poor feeding, fluid in lungs


**most common**

2. atrial septal defect: A-CYANOTIC= INCREASED BLOOD FLOW

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


**Leads to CHF**

3. patent ductus arteriosus: A-CYANOTIC= INCREASED BLOOD

FLOW

SXS: sweating while feeding, increased weight gain, poor oxygenation

4. coarcation of the aorta: ACYANOTIC= Obstructive defect

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

5. aortic stenosis: ACYANOTIC= Obstructive defect





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SXS: chest pain, syncope, fatigue, exercise intolerance

6. Pulmonic Stenosis: ACYANOTIC= Obstructive defect

7. Tetraology of Fallot: CYANOTIC= Decreased blood flow

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

hypertrophy


SXS: squatting, cyanosis, clubbing, syncope


NI: KNEES TO CHEST FIRST

8. Cardiac Cath: 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)