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The Child with a Cardiovascular Disorder
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Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank
The Child with a Cardiovascular Disorder
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Question 1 of 5
What does the nurse explain that a ventricular septal defect will allow?
A. Blood to shunt left to right, causing increased pulmonary flow and no cyanosis
B. Blood to shunt right to left, causing decreased pulmonary flow and cyanosis
C. No shunting because of high pressure in the left ventricle
D. Increased pressure in the left atrium, impeding circulation of oxygenated blood in the circulating volume
Correct Answer:
Rationale:
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Question 2 of 5
Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?
A. A loud, harsh murmur with a systolic thrill
B. Cyanosis when crying
C. Blood pressure higher in the arms than in the legs
D. A machinery-like murmur
Correct Answer:
Rationale:
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Question 3 of 5
What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?
A. Blood pressure higher on the right side
B. Blood pressure higher on the left side
C. Blood pressure lower in the arms than in the legs
D. Blood pressure lower in the legs than in the arms
Correct Answer:
Rationale:
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Question 4 of 5
What is the nurse's best response?
A. Squatting increases the return of venous blood back to the heart.
B. Squatting decreases arterial blood flow away from the heart.
C. Squatting is a common resting position when a child is tachycardic.
D. Squatting increases the workload of the heart.
Correct Answer:
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Question 5 of 5
What does the nurse understand regarding why dyspnea occurs?
A. Blood is circulated through the lungs again, causing pulmonary circulatory congestion.
B. Blood is shunted past the pulmonary circulation, causing pulmonary hypoxia.
C. Blood is shunted past cardiac arteries, causing myocardial hypoxia.
D. Blood is circulated through the ductus from the pulmonary artery to the aorta, bypassing the left side of the heart.
Correct Answer:
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