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nurs 1014 midterm 2 questions with complete solutions

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nurs 1014 midterm 2 questions with complete
solutions
Heart position Correct Answer-right side is anterior and left side is
posterior


Pericardium Correct Answer-tough, fibrous, double-walled sac that
surrounds and protects the heart. It also provides smooth friction-free
movement of the heart muscle


Myocardium Correct Answer-muscular of the heart, does the pumping


Endocardium Correct Answer-the thin layer of endothelial tissue that
lines the inner surface of the heart chambers and valves


Atrioventricular (AV) valves Correct Answer-separate atria and
ventricles, tricuspid on the right, mitral on the left


Semilunar valves Correct Answer-pulmonic valve on the right side and
aortic on the left


Direction of bloodflow Correct Answer--enters via inferior/superior
vena cava -right atrium -tricuspid valve -right ventricle -pulmonic valve
-pulmonary artery -lungs-pulmonary veins -left atrium -mitral valve -left
ventricle -aortic valve -aorta

,Cardiac cycle Correct Answer-rhythmic movement of blood flow
through the heart


2 phases of the cardiac cycle Correct Answer-systole & diastole


Diastole Correct Answer-ventricles relax and fill with blood (⅔ of the
cardiac cycle), AV valves are open


Systole Correct Answer-hearts contraction (⅓ of cycle), AV valves are
closed


Isometric contraction Correct Answer-all 4 heart valves are closed and
the ventricles relax


S1 Correct Answer-occurs with closure of the AV valves, loudest at the
apex, start of systole or "lub"


M1 and T1 Correct Answer-mitral and tricupid component, sound is
usually fused


S2 Correct Answer-occurs with the closure of the semilunar valves,
loudest at the base (end of systole)


A2 and P2 Correct Answer-aortic and pulmonic components, this sound
is usually fused

, S3 Correct Answer-vibrations of ventricular filling, occurs immediately
after S2


S4 Correct Answer-vibrations of the atria contract, occurs immediately
before S1


Murmurs Correct Answer-sounds like noisy water flow created by a pile
of stones. Gentle, blowing, swooshing sound that can be heard on the
chest wall


Causes of murmurs Correct Answer--increased velocity of blood flow -a
decreased velocity of blood flow -structural defects in valves


Characteristics of sound Correct Answer-1.frequency(pitch), all are low-
ferquency sounds 2.intensity(loudness), loud or soft 3.duration, very
short for heart sounds, silent periods are longer 4.timing, systole or
diastole


ECG-electrocardiogram Correct Answer--the electrical impulse
stimulates the heart to do its work -a small amount of electricity spreads
to the body surface, where it can be measured and recorded on the
electrocardiogram


ECG waves Correct Answer-PQRST

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