ATI LPN
Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank
Chapter 26 Questions
Question 1 of 5
What does the nurse explain that a ventricular septal defect will allow?
Correct Answer: A
Rationale: A ventricular septal defect allows blood to shunt from the left to the right ventricle due to higher left ventricular pressure, increasing pulmonary flow without causing cyanosis.
Question 2 of 5
Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?
Correct Answer: A
Rationale: A loud, harsh murmur with a systolic thrill is a hallmark sign of a ventricular septal defect in newborns.
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?
Correct Answer: D
Rationale: Coarctation of the aorta causes higher blood pressure in the arms due to obstruction distal to the defect, resulting in lower pressure in the legs.
Question 4 of 5
What is the nurse's best response?
Correct Answer: A
Rationale: Squatting in tetralogy of Fallot increases venous return, improving systemic circulation and reducing cyanosis.
Question 5 of 5
What does the nurse understand regarding why dyspnea occurs?
Correct Answer: A
Rationale: In patent ductus arteriosus, oxygenated blood recycles through the lungs, causing pulmonary congestion and dyspnea.