Pediatrics Test #3 Review Chapters: 19, 20, 21, 22, 23, 25 30 questions

Atrial Septal Defect: Best understanding of this defect a. An ASD is a passageway or hole in the wall (septum) that divides the right atrium from the left atrium. b. Three types of ASDs are identified based on the location of the opening: i. Ostium primum (ASD1): the opening is at the lower portion of the septum. ii. Ostium secundum (ASD2): the opening is near the center of the septum. iii. Sinus venosus defect: the opening is near the junction of the superior vena cava and the right atrium. After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow? Atrial Septal Defect The mother of a 4 week old infant is tearful. She reports the physician has told her that her son has a small atrial septal defect. She reports she is worried and asks the nurse more about the condition. Which statement by the parents best indicates an understanding of the nurse's teaching? "Most of the time this condition spontaneously resolves." The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). The parents voice concern and state, "I can't believe this is happening. Will our child be okay?" What is the nurse's best response? "While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the doctor." 2. Good food choices for a patient with hypertension (Adolescent): a. Low sodium, fruits, vegetables A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information? "I should eat plenty of fresh fruits and vegetables." 3. How does a PDA (patent ductus arteriosus) sound like: a. Harsh, continuous, machine-like murmur (usually loudest under the left clavicle) is heard at the first and second intercostal spaces The nurse is caring for an infant with suspected patent ductus arteriosus. Which assessment finding would the nurse identify as helping to confirm this suspicion? Harsh, continuous, machine-like murmur under the left clavicle