Chapter 26

Question 1

What are S/S of Congenital Heart Abnormalities in Infants?

Answer 1

dyspnea, difficulty with feedings, chocking spells, respiratory infections, cyanosis, poor weight gain, finger/toe clubbing, and heart murmurs

Question 2

What are some nursing goals significant to the care of children with HF?

Answer 2

Reduce the work of the heart, improve respiration, maintain proper nutrition, prevent infection, reduce anxiety, support growth and development

Question 3

What are congenital heart defects caused by?

Answer 3

genetic factors, maternal factors, drug use/illness of mother, environmental factors

Question 4

When does acquired hear disease occur?

Answer 4

After birth as a response to a defect or illness

Question 5

Congenital heart defects cause what?

Answer 5

Recirculation of blood to the lungs that doesn’t produce cyanosis as a clinical sign

Question 6

What is the difference in the BP of the arms and legs called?

Answer 6

Coarctation of the arota

Question 7

What are the defects in Tetralogy of Fallot?

Answer 7

pulmonary artery stenosis, hypertorphy of right ventricle, dextroposition of the aorta, and ventrical septal defect

Question 8

What relieves “tet” spells?

Answer 8

knee-to-chest position

Question 9

S/S of CHF in infants?

Answer 9

tachycardia, at-rest fatigue with feedings, perspiration around the forehead

Question 10

Nurses should check what medication before administration (two-person check)?

Answer 10

digoxin: dose exceeding 0.05mg

Question 11

What are the major Jones criteria when diagnosising rheymatic fever?

Answer 11

polyarthritis, erythema marginatum, Sydenham’s chorea, and rheumatic carditis

Question 12

Where do you keep chest tube drainage systems in relation to the patient?

Answer 12

below the level of the chest

Question 13

Should young infants have a fat-restricted diet?

Answer 13

No, they need fat for CNS growth and development

Question 14

When administering digoxin to an infant, the medication should be withheld and the physician notified if the:

Answer 14

pulse rate is bellow 100 bpm

Question 15

An infant with tetralogy of Fallot is experiencing a tet spell involving cyanosis and dyspnea. In which position should the infant be placed?

Answer 15

Knee-chest

Question 16

Prevention of rheumatic fever can best be accomplished by:

Answer 16

having sore throats cultured as son as possible

Question 17

The nurse is assessing a child admitted with possible Kawasaki disease. A characteristic sign or symptoms the nurse should observe and document would be:

Answer 17

peeling skin on fingers

Question 18

A child who has had heart surgery returns t the pediatric unit with a chest tube and drainage bottles in place. What is a priority nursing responsibility when caring for a child with chest tubes?

Answer 18

Keep the drainage bottles below the chest level at all times.