A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

Hypoplastic left heart syndrome - Decreased pulmonary blood flow.

Tetralogy of Fallot - Obstruction to blood flow.

Atrial Septal Defect - Increased pulmonary blood flow.

Aortic Stenosis - Mixing of blood flow.

Answer and Explanation

Correct Answer : A,B

Choice A:
Hypoplastic left heart syndrome - Decreased pulmonary blood flow.
Choice B:
Tetralogy of Fallot - Obstruction to blood flow.
Choice C rationale:
Atrial Septal Defect is incorrectly matched with its hemodynamic classification. ASD results in increased pulmonary blood flow due to the shunting of oxygenated blood from the left atrium to the right atrium.
Choice D rationale:
Aortic Stenosis is again not accurately matched. Aortic stenosis causes obstruction to blood flow from the left ventricle to the aorta, impacting systemic circulation.

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Correct Answer is C

Explanation

Choice A rationale:

Exploring why the mother wants to hold the baby is important, but it does not directly address her immediate desire to hold her baby. Delaying the action could lead to emotional distress for the mother.

Choice B rationale:

Showing the mother how to lightly rub the baby's back above the suture line might be appropriate, but it doesn't fulfill the mother's wish to hold her baby. It also doesn't fully consider the sensitivity of the surgical site.

Choice C rationale:

Helping the mother hold the baby without placing pressure on the suture line is the most appropriate action. It addresses the mother's emotional needs while also considering the infant's post-operative condition.

Choice D rationale:

Reassuring the mother that she will be able to hold her baby in four to five days does not provide immediate comfort and support for her emotional distress. It's important to address her needs in the present moment.

A. "My child is a very picky eater and wants only macaroni and cheese.". B. "My child falls asleep at night drinking a bottle of juice.". C. "My child likes to pull off his hat when outdoors.". D. "My child will not wear shoes in the house.".

Correct Answer is B

Explanation

Choice A rationale:

The child's preference for macaroni and cheese is unrelated to the diagnosis of bilateral otitis media. This choice does not provide insight into the child's ear condition.

Choice B rationale:

This statement is most likely related to the patient's diagnosis of bilateral otitis media. Falling asleep with a bottle of juice can lead to prolonged exposure of the teeth to sugar, increasing the risk of dental caries, which is commonly associated with ear infections.

Choice C rationale:

The child's behavior of pulling off his hat when outdoors does not offer information about the ear infection and its diagnosis.

Choice D rationale:

The child's refusal to wear shoes indoors is unrelated to the diagnosis of bilateral otitis media. It does not provide relevant information about the ear condition or its management.

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A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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