age 1 of 48
NUR 254 Exam 3 | Maternal and Pediatrics TEST
STUDY GUIDE 2025/2026 QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
ventricular septal defect ......ANSWER........A-CYANOTIC=
INCREASED BLOOD FLOW
SXS: respiratory infection, poor feeding, fluid in lungs
**most common**
atrial septal defect ......ANSWER........A-CYANOTIC= INCREASED
BLOOD FLOW
SXS: murmur, resp distress, resp infection, SOB, poor feeding
**Leads to CHF**
,age 2 of 48
FLACC scale ......ANSWER........Leg position, activity, consolibility,
facial expressions, crying 2mths-7yrs
Culture ......ANSWER........offer other options in conjunction with
their norms
congenital heart defects ......ANSWER........abnormalities present
in the heart at birth
acquired heart disease ......ANSWER........Heart disease that
arises after birth, usually from infection
patent ductus arteriosus ......ANSWER........A-CYANOTIC=
INCREASED BLOOD FLOW
SXS: sweating while feeding, increased weight gain, poor
oxygenation
,age 3 of 48
coarcation of the aorta ......ANSWER........ACYANOTIC=
Obstructive defect
SXS: BP increased in UE, BP decreased in LE, headache, LE
thready pulse
aortic stenosis ......ANSWER........ACYANOTIC= Obstructive
defect
SXS: chest pain, syncope, fatigue, exercise intolerance
Pulmonic Stenosis ......ANSWER........ACYANOTIC= Obstructive
defect
Tetraology of Fallot ......ANSWER........CYANOTIC= Decreased
blood flow
Issues with: pulmonic stenosis, overriding aortic arch, VSD, right
ventricular hypertrophy
, age 4 of 48
SXS: squatting, cyanosis, clubbing, syncope
NI: KNEES TO CHEST FIRST
Cardiac Cath ......ANSWER........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)
NUR 254 Exam 3 | Maternal and Pediatrics TEST
STUDY GUIDE 2025/2026 QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS <RECENT VERSION>
ventricular septal defect ......ANSWER........A-CYANOTIC=
INCREASED BLOOD FLOW
SXS: respiratory infection, poor feeding, fluid in lungs
**most common**
atrial septal defect ......ANSWER........A-CYANOTIC= INCREASED
BLOOD FLOW
SXS: murmur, resp distress, resp infection, SOB, poor feeding
**Leads to CHF**
,age 2 of 48
FLACC scale ......ANSWER........Leg position, activity, consolibility,
facial expressions, crying 2mths-7yrs
Culture ......ANSWER........offer other options in conjunction with
their norms
congenital heart defects ......ANSWER........abnormalities present
in the heart at birth
acquired heart disease ......ANSWER........Heart disease that
arises after birth, usually from infection
patent ductus arteriosus ......ANSWER........A-CYANOTIC=
INCREASED BLOOD FLOW
SXS: sweating while feeding, increased weight gain, poor
oxygenation
,age 3 of 48
coarcation of the aorta ......ANSWER........ACYANOTIC=
Obstructive defect
SXS: BP increased in UE, BP decreased in LE, headache, LE
thready pulse
aortic stenosis ......ANSWER........ACYANOTIC= Obstructive
defect
SXS: chest pain, syncope, fatigue, exercise intolerance
Pulmonic Stenosis ......ANSWER........ACYANOTIC= Obstructive
defect
Tetraology of Fallot ......ANSWER........CYANOTIC= Decreased
blood flow
Issues with: pulmonic stenosis, overriding aortic arch, VSD, right
ventricular hypertrophy
, age 4 of 48
SXS: squatting, cyanosis, clubbing, syncope
NI: KNEES TO CHEST FIRST
Cardiac Cath ......ANSWER........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)
