Fetal blood flow
Pathophys
Assessment
Labs & Diagnostics
Medications
100

This is the sepal opening between the atria of the fetal heart.

Foramen Ovale

100

In infants and children, inadequate cardiac output is most commonly caused by ____ _____ _____, that produce an excessive volume or pressure load on the myocardium

congenital heart defects

100

The abbreviation, CHD stands for congenital heart defect, as apposed to CHF which stands for _____ ____ ______

Congestive heart failure

100

TRUE/FALSE

A severe diaper rash may delay a cardiac catheterization procedure on an infant

True

100

The electrolyte most commonly depleted with diuretic therapy is:

Potassium

200

The formen ovale, ductus venosis, & ______ _______ allow most blood from the placenta to bypass the fetal lungs and liver 

ductus arteriosus
200

Congenital heart defects are classified by Increased or decreased pulmonary blood, mixed, & ________

Obstructive

200

Heart failure and a _______ are the most frequent clinical manifestations of an atrial septal defect in an infant or child

murmur

200

This is a procedure in which a radiopaque catheter is inserted through a peripheral blood vessel into the heart; contrast material injected; films taken of the dilution and circulation of the contrast material; used for diagnosis, treatment of valves/vessels, and electrophysiology studies.

 Cardiac Catheterization

200

This is a medication administered to the newborn with a congenital heart defect to keep the ductus arteriosus open

Prostaglandin

300

During fetal life, oxygenated blood travels into the left atrium through a structure known as the


foramen ovale

300

This type of disease includes primarily anatomic abnormalities present at birth that result in abnormal cardiac function, the consequences of which are hypoxemia and heart failure

Congenital heart disease

300

The nurse notes that an infant becomes cyanotic when distressed. The patient is noted to have a systolic murmur. The nurse suspects the patient was born with ______ __ _____.

Tetralogy of Fallot

300

This is a study in which a transducer is placed behind the heart to obtain images of posterior heart structures or used in patients with poor images from chest 

Transesophageal echocardiogram (TEE)

300

Enalapril & Captopril are the two main _____-_____ _____ _____ most commonly used for children with congestive heart failure

angiotensin-converting enzyme (ACE) inhibitors

400

When an abnormal connection exists between the heart chambers (e.g., a septal defect), blood will necessarily flow from an area of higher pressure (left side) to one of lower pressure (right side). This is called a ____-__-____ _____

left -to-right shunt

400

Disease processes or abnormalities that occur after birth and can be seen in the normal heart or in the presence of congenital heart defects; resulting from factors such as infection, autoimmune responses, environmental factors, and familial tendencies. 

Acquired cardiac disorders

400

A mother receives results that her infant will be born with Trisomy 21. The mother is concerned about other conditions associated with trisomy 21. The nurse should explain that congenital heart disease is _______ likely to occur with trisomy 21.

more

400

This type of diagnostic can indicate ischemia of the heart muscle, injury to the heart muscle, show dysrhythmias, shows conduction delays

Electrocardiogram

400

Dosage calculation

An infant is receiving Lanoxin elixir 0.028 mg once daily. Lanoxin is available in an elixir concentration of 50 mcg/mL. The correct dose to draw up and administer is:

0.56mL

500

In fetal circulation only a small amount of blood flows through the nonfunctioning ______ circulation

pulmonary

500

This is a preventable illness with a MMR vaccine which can cause congenital defects of the eyes, heart, ears, and brain

Rubella

500

A pregnant individual presents to the clinic with frequent alcohol consumption. The nurse discusses with her that this is a ____ _____ for congenital heart disease

risk factor

500

­­­­­This is the increase in red blood cells caused by the body’s reaction to having a congenital heart defect to increase the oxygen supply in the presence of hypoxia.

Polycythemia
500

A child diagnosed with congestive heart failure (CHF) is receiving maintenance doses of digoxin (Lanoxin) and furosemide (Lasix). She is rubbing her eyes when she is looking at the lights in the room, and her HR is 70 BPM. The nurse expects which laboratory finding?

Hypokalemia 

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