PEDIA QUIZ 3
A family member, who is caring for a 2-year-old
1. This congenital heart defect is defined as
presence of intracardiac communication along
the septum or an abnormal connection
between the great arteries which allows blood
to flow from the high pressure left side of the
heart to the low-pressure right side of the heart.
ANS: Defects with increased Pulmonary Blood
flow
2. Among the following are appropriate nursing
interventions for pediatric client with congenital
heart defects except:
ANS: If respiratory effort is increased, place the
child in Trendelenburg position, elevating the
lower part of the body to decrease the work of
breathing.
3. This procedure is essential to perform during
cardiac catheterization for a client with
congenital transposition of the great arteries to
increase mixing and maintain cardiac output
over a long period of time.
ANS: Balloon atrial septostomy
4. This medication is best to be given in a client to
close a patent ductus arteriosus especially to
premature infants and some newborns with
congenital heart defects.
ANS: Indomethacin
5. This CHD results from incomplete fusion of the
endocardial cushions commonly seen in clients
with Down Syndrome that usually manifested
with mild to moderate heart failure with
cyanosis increasing with crying.
ANS: Atrioventricular canal defect
6. Decreasing cardiac output is one of the
pathophysiologic effects of most congenital
heart defects. Which of the following is not a
sign and symptoms of decreasing cardiac
output?
ANS: Increased peripheral pulses.
7.
with tetralogy of Fallot, asks you why the child
will periodically squat when playing with other
children. Your response is:
ANS: Squatting helps to increase systemic
vascular resistance, which will decrease the
right to left shunt that is occurring in the
ventricles, and this helps increase oxygen levels.
8. While feeding a 3-month-old infant, who has
Tetralogy of Fallot, you notice the infant’s skin
begins to have a bluish tint and the breathing
rate has increased. Your immediate nursing
action is too?
ANS: Stop feeding the infant and place the
infant in the knee-to-chest position and
administer oxygen.
9. As the nurse, you know which statements is not
true about Tetralogy of Fallot?
ANS: Tetralogy of Fallot is treated with only
palliative surgery.
10. You’re caring for a child with coarctation of the
aorta and educating the parents about the
child’s condition. Which statement by the
parents demonstrates they understood the
pathophysiological defects.
ANS: The narrowing of the aorta leads to high
blood pressure in the arteries that are found
before the site of narrowing in the aorta.
11. A two-month-old is showing signs and
symptoms of heart failure. An Echocardiogram is
ordered. The test shows the infant has a
ventricular septal defect (VSD). Which
statement below best describes the blood flow
in the heart due to this congenital heart defect?
ANS: The blood in the heart is shunting from the
left ventricle to the right ventricle, which is
increasing pulmonary blood flow.
12. The pulmonary artery leaves the left ventricle,
and the aorta exits from the right ventricle
causing severe cyanosis, and respiratory distress
at birth.
ANS: Transposition of great arteries.
13. Abnormal opening of this type of atrial septal
defect is located near the center of the septum.

ANS: Ostium Secundum

14. Refers to chronic heart valve damage that can

occur after an inflammatory disease that occurs
following of Streptococcus pyrogens infection,
such as streptococcal pharyngitis that may
affect many connective tissues of the body like
the heart.

ANS: Rheumatic Heart Disease.

15. Failure of the tricuspid valve to develop, no

communication exists from the right atrium to
the right ventricle. Usually manifested with
signs of chronic hypoxemia and clubbing.

ANS: Tricuspid Atresia