A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?
"Tetralogy of Fallon is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect,right ventricular hypertrophy and an overriding aorta.”
"Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta."
"Tetralogy of Fallot is a group of the heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy.”
"Tetralogy of Fallot is a heart defect that impacts the circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood.”
The Correct Answer is A
A. "Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta." This is the correct definition of Tetralogy of Fallot. The four defects result in decreased oxygenation of blood, leading to cyanosis and other circulatory problems that require medical intervention.
B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." While an overriding aorta is one of the four defects in Tetralogy of Fallot, it is not the sole cause of circulatory problems. The condition results from a combination of four structural abnormalities, not just aortic malposition.
C. "Tetralogy of Fallot is a group of heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy." This statement describes different congenital heart defects but does not accurately define Tetralogy of Fallot. Aortic stenosis and atrial septal defects are not components of this condition.
D. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood." While a ventricular septal defect (VSD) is one of the four components, it is not the only issue affecting circulation. The combination of all four defects contributes to the condition's severity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Anencephaly affects male fetuses more than female fetuses." Anencephaly occurs more frequently in female fetuses than in males. Studies suggest a slightly higher prevalence in female infants, though the exact reason is unclear.
B. "Cancer during pregnancy is a risk factor for anencephaly." There is no known link between cancer during pregnancy and anencephaly. The primary risk factors include folic acid deficiency, maternal diabetes, and exposure to teratogens (e.g., certain medications, high temperatures, or environmental toxins).
C. "These defects occur in the embryonic stage of pregnancy." Anencephaly is a neural tube defect (NTD) that occurs during the embryonic stage, specifically between weeks 3 and 4 of gestation. During this period, the neural tube fails to close properly, leading to incomplete development of the brain and skull.
D. "Most newborns who have anencephaly survive 1 month." Anencephaly is almost always fatal, with most affected newborns dying within hours to days after birth. There is no cure, and long-term survival is extremely rare due to the severe brain malformation.
Correct Answer is A
Explanation
A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.
B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.
C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.
D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.
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