Pediatric Cardiac Disorders : Nursing Course


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OR REVIEW THE FOLLOWING NURSING CLASS KNOWLEDGE BLOCKS


__________ is a congenital heart defect that includes pulmonary stenosis, right ventricular hypertrophy, ventricular septal defect, and an overriding aorta. The clinical signs and symptoms associated with Tetralogy of Fallot are: profound cyanosis at birth with episodes of severe cyanosis and hypoxia, systolic ejection murmur, clubbing of the nail beds, dyspnea, squatting, poor growth, mental slowness, syncope, and cerebrovascular disease. Because deoxygenated (blue) blood can flow directly out to the body, children with this defect often appear bluish.

Tetralogy of Fallot.

Rationale: The congenital heart defect known as Tetralogy of Fallot is actually a combination of four separate heart defects. It includes pulmonary stenosis, a thickened right ventricle (known as ventricular hypertrophy), a hole between the lower chambers (known as a ventricular septal defect), and an aorta that can receive blood from both the left and right ventricles, instead of draining just the left.


Congenital heart defects that allow blood from one side of the heart to mix with blood from the other side are referred to as:

septal defects.

Rationale: The septum separates the chambers on the left side of the heart from those on the right. It prevents mixing of blood between the two sides of the heart.


Heart defects that are present at birth are referred to as:

congenital.

Rationale:

The chamber of the heart that has the largest blood supply is the:

left ventricle.

Rationale:

The International Congenital Heart Surgery Nomenclature was developed in 2000 to provide a classification system for congenital heart diseases. The two major classifications are:

cyanotic and acyanotic.

Rationale:

The nurse assigned to care for a child with coarctation of the aorta expects that the blood pressure would be ____ above, and ____ below the point of coarctation.

higher, lower.

Rationale:

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