Nur 1025 Exam 4 – Questions With Fully Detailed
Solutions
Save
Terms in this set (249)
How many chambers does 4
the heart have?
What receives the The right atrium
deoxygenated blood from
the body?
After the deoxygenated into the right ventricle
blood from the body goes
into the R atrium where
does it go next?
The deoxygenated blood into the pulmonary artery to bring blood to the lungs to
from the R. ventricle goes reoxygenate
where next?
After the blood Into the left atrium, then to the left ventricle
reoxygenates in the lungs
where does it go?
After the blood goes thru into the aorta
the Left atrium and
ventricle where does it go?
Once the blood is in the gives oxygenated blood into the body
aorta where does it go?
the flow of blood through the arteries and capillaries
Perfusion refers to?
delivering nutrients and oxygen to cells
Perfusion is a normal generate sufficient cardiac output to transport blood
physiological process that thru the body
requires the heart to do
what?
, - the lungs inflate reducing pulmonary vascular
What happens related to resistance to blood flow.
perfusion when a baby - The pressure increases to L atrium, which closes
takes it's first breath when foramen ovale.
born? - drop in pressure promotes closure of the ductus
arteriousus. (within 72 hours of birth)
What is patent ductus abnormal persistent open ductus arteriousus. Found
arteriosus (PDA)? between the aorta and pulmonary artery
When is PDA a normal up to 72 hours after birth, but it should close within 72
finding? hours.
Failure of PDA closure increased pulmonary blood flow (too much blood flow
causes what? to the lungs)
PDA is common in what preterm
type of infants?
How is the blood shunting left to right shunting
in PDA?
How is PDA fixed? with medications or surgery, prognosis is good
What medication can be indomethacin, a prostaglandin inhibitor
given to close the ductus
arteriosus?
- Crackles
- SOB
What are some s/s of PDA?
- Dyspnea
- Tachypnea
What is a ventricular septal Opening between the right and left ventricular
defect (VSD)? chambers of the heart. Causes left to right shunting
VSD is one of the most congenital heart defects
common what?
Spontaneous closure of 1/2
small VSD occurs in how
many children by age 2?
If VSD does not close by 2 surgical repair to prevent development of pulmonary
what is done? disease
Due to left to right shunting right ventricular hypertrophy, causing ventricle to be
in VSD the heart must work smaller putting pressure on heart
harder causing?
, Right ventricular pulmonary hypertension
hypertrophy causes what?
What are the clinical heart murmur
manifestations of a baby
with asymptomatic VSD?
- increased pulmonary vascular resistance leading to
pulmonary HTN and R ventricular hypertrophy
- SOB
What are other clinical - FTT
manifestations of VSD? - Feeding difficulties
- Murmur loud and harsh (heard 4-8 weeks)
- Systolic thrill in lower left sternal border
- Recurrent respiratory infections
- Echocardiogram
What diagnostic tests will
- MRI
you do for VSD?
- Cardiac cath
- feeding tolerance; offer small feedings and increased
calories
What will you monitor in an - s/s of CHF
infant with VSD? - Increased WOB; cluster care
- monitor growth pattern
- educate parents to follow up with cardiologist
What is congestive heart When the heart cannot supply enough oxygenated
failure (CHF)? blood to meet metabolic needs of the body
What is right sided heart right ventricle cannot pump blood into the pulmonary
failure? artery (body affected)
What is left sided heart blood is backed into the left atrium pulmonary veins
failure? (left lungs affected)
- edema of face, hands, feet, or wt gain
- tachypnea
- SOB
What are you looking for in
- fatigue, sweating with minimal activity
an assessment for CHF?
- poor appetite, tires easily with feeding, poor growth
- clubbing
- Diuretics can be given
a radiopaque catheter is inserted into a blood vessel
What is cardiac
and then guided thru the vessel to the heart to aid with
catheterization?
fluroscopy
Solutions
Save
Terms in this set (249)
How many chambers does 4
the heart have?
What receives the The right atrium
deoxygenated blood from
the body?
After the deoxygenated into the right ventricle
blood from the body goes
into the R atrium where
does it go next?
The deoxygenated blood into the pulmonary artery to bring blood to the lungs to
from the R. ventricle goes reoxygenate
where next?
After the blood Into the left atrium, then to the left ventricle
reoxygenates in the lungs
where does it go?
After the blood goes thru into the aorta
the Left atrium and
ventricle where does it go?
Once the blood is in the gives oxygenated blood into the body
aorta where does it go?
the flow of blood through the arteries and capillaries
Perfusion refers to?
delivering nutrients and oxygen to cells
Perfusion is a normal generate sufficient cardiac output to transport blood
physiological process that thru the body
requires the heart to do
what?
, - the lungs inflate reducing pulmonary vascular
What happens related to resistance to blood flow.
perfusion when a baby - The pressure increases to L atrium, which closes
takes it's first breath when foramen ovale.
born? - drop in pressure promotes closure of the ductus
arteriousus. (within 72 hours of birth)
What is patent ductus abnormal persistent open ductus arteriousus. Found
arteriosus (PDA)? between the aorta and pulmonary artery
When is PDA a normal up to 72 hours after birth, but it should close within 72
finding? hours.
Failure of PDA closure increased pulmonary blood flow (too much blood flow
causes what? to the lungs)
PDA is common in what preterm
type of infants?
How is the blood shunting left to right shunting
in PDA?
How is PDA fixed? with medications or surgery, prognosis is good
What medication can be indomethacin, a prostaglandin inhibitor
given to close the ductus
arteriosus?
- Crackles
- SOB
What are some s/s of PDA?
- Dyspnea
- Tachypnea
What is a ventricular septal Opening between the right and left ventricular
defect (VSD)? chambers of the heart. Causes left to right shunting
VSD is one of the most congenital heart defects
common what?
Spontaneous closure of 1/2
small VSD occurs in how
many children by age 2?
If VSD does not close by 2 surgical repair to prevent development of pulmonary
what is done? disease
Due to left to right shunting right ventricular hypertrophy, causing ventricle to be
in VSD the heart must work smaller putting pressure on heart
harder causing?
, Right ventricular pulmonary hypertension
hypertrophy causes what?
What are the clinical heart murmur
manifestations of a baby
with asymptomatic VSD?
- increased pulmonary vascular resistance leading to
pulmonary HTN and R ventricular hypertrophy
- SOB
What are other clinical - FTT
manifestations of VSD? - Feeding difficulties
- Murmur loud and harsh (heard 4-8 weeks)
- Systolic thrill in lower left sternal border
- Recurrent respiratory infections
- Echocardiogram
What diagnostic tests will
- MRI
you do for VSD?
- Cardiac cath
- feeding tolerance; offer small feedings and increased
calories
What will you monitor in an - s/s of CHF
infant with VSD? - Increased WOB; cluster care
- monitor growth pattern
- educate parents to follow up with cardiologist
What is congestive heart When the heart cannot supply enough oxygenated
failure (CHF)? blood to meet metabolic needs of the body
What is right sided heart right ventricle cannot pump blood into the pulmonary
failure? artery (body affected)
What is left sided heart blood is backed into the left atrium pulmonary veins
failure? (left lungs affected)
- edema of face, hands, feet, or wt gain
- tachypnea
- SOB
What are you looking for in
- fatigue, sweating with minimal activity
an assessment for CHF?
- poor appetite, tires easily with feeding, poor growth
- clubbing
- Diuretics can be given
a radiopaque catheter is inserted into a blood vessel
What is cardiac
and then guided thru the vessel to the heart to aid with
catheterization?
fluroscopy
