1. To help relieve a hypercyanotic spell?

Knee-chest

2. Hypercyanotic spells are common in children? Tetrology “TET Spells”

3. Find and describe an ASD? Hole in the atria that allows blood that is already oxygenated
to enter the right side of the heart and be sent back to the lungs again.

4. Describe the blood flow through a patent ductus arteriosus? Higher pressure aorta to
lower pressure pulmonary artery

5. List the signs of Dig toxicity? (select all that apply) bradycardia, n/v, anorexia,
dysrhythmia

6. Therapeutic level of Digoxin? 0.8-2 mcg/ml

7. List the pulse parameter for infants and older children? Infants <90-110 Older children
<70

8. Why is furosemide often given with digoxin?

9. What is the action of ACE inhibitors in heart failure? reduces afterload, relaxed coronary
artery

10. List 4 interventions for congenital heart defects? Lung sounds, feeding intolerance, UOP,
daily wts

11. List a complication of congenital heart defect (more prone to what?) Resp. Infection

12. List the 4 defect of tetralogy: VSD, pulmonary stenosis, overriding aorta, right ventricle
hypertrophy

13. Name a characteristic of a child with chronically low oxygen? Finger clubbing/small
stature

14. Differentiate between Hemophilia A and Hemophilia B? Factor 8=A Fact 9=B

15. How is hemophilia transmitted? X-Linked Recessive, unaffected male/carrier female =

50/50 chance

16. How do you manage acute bleeding in hemophilia? RICE=ICE Emergency-factor

injection, fluids

17. What is the most frequent form of internal bleeding for hemophilia patient?
Hemarthrosis (bleeding in joints)
18. How is sickle cell transmitted genetically? Autosomal recessive,

19. Sickle cell is not often diagnosed in infants why?

20. What are your priority interventions for sickle cell? Rest, Decrease stress, hydrate,
prevention of infection

21. What causes the pain in sickle cell? Occlusion, causes ischemia

22. What diagnostic test differentiates sickle cell anemia from sickle cell trait?
Electrofuresis?

23. Complication of otitis media? Delayed speech, hearing loss

24. Prevent otitis media? (Select all that apply) avoid propping bottle, smoke, routine,
immunization, pneumonia vaccination,

25. Signs of rheumatic fever? Rash, chest pain, facial grimace, jerky movement, SOB

26. Rheumatic fever treatment? Antibiotics, Tylenol, Prednisone

27. Nursing care for tonsillectomy? Bleeding up to 2 wks, no red/brown liquids, no

cough/blow nose, no ibuprophen

28. S&S of RSV Broncheolitis: retractions, sneezing, lethargy, poor feeding

29. Treatment to prevent RSV in high risk patients: Palivizunab

30. How is mono diagnosed? Blood test: Monospot

31. Manifestation of mono? Swollen lymphnodes, hepatosplenomegaly, fever, fatigue,

32. After rehydration what diet should be given? Regular diet, no juice/soda

33. How long does the acute phase of mono last? 7-10 acute phase length=2-4weeks

34. Nursing Interventions acute diarrhea? I&O, daily wts, IV fluids, NPO