The family has just been informed by the healthcare provider that their newborn is diagnosed with a congenital heart defect, Tetralogy of Fallot (TOF). The family tells the nurse that the healthcare provider told them that TOF is comprised of several defects, and they ask the nurse what the defects are. What will the nurse tell the family? Select all that apply.
Pulmonary stenosis
Overriding aorta
Right ventricular hypertrophy
Coarctation of the aorta
Ventral septal defect
Correct Answer : A,B,C,E
A. Pulmonary stenosis is one of the characteristic features of TOF, causing obstruction to blood flow to the lungs.
B. Overriding aorta is a defining feature of TOF, where the aorta is positioned over the ventricular septal defect, leading to mixing of oxygenated and deoxygenated blood.
C. Right ventricular hypertrophy occurs in TOF due to increased workload on the right ventricle caused by pulmonary stenosis.
D. Coarctation of the aorta is not part of Tetralogy of Fallot; it is a separate congenital defect.
E. A ventricular septal defect is the hole between the ventricles in TOF, leading to the mixing of oxygenated and deoxygenated blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tracheoesophageal fistula involves an abnormal connection between the esophagus and trachea, typically presenting with respiratory distress, coughing, and feeding difficulties, not a palpable abdominal mass and blood in stools.
B. Hypertrophic pyloric stenosis is characterized by projectile vomiting, dehydration, and an olive-shaped mass in the upper abdomen, not blood and mucus in the stools.
C. Inguinal hernia may present with a bulging mass in the groin area, but it does not cause blood or mucus in stools.
D. Intussusception is characterized by the telescoping of one part of the intestine into another, which can cause a palpable mass, abdominal pain, and stools mixed with blood and mucus (often referred to as "currant jelly" stools).
Correct Answer is B
Explanation
A. A weight of 14.5 kg (32 lb) is normal for a 3-year-old.
B. A respiratory rate of 45 breaths per minute is elevated for a 3-year-old, whose normal range is 20-30 breaths per minute.
C. A blood pressure of 90/50 mm Hg is normal for a toddler.
D. A heart rate of 110/min is within the expected range for a 3-year-old.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.