Pediatric Nursing Demystified

CHAPTER 6/ Cardiovascular Conditions^107

• Allow caregivers to visit as soon as possible.


• Explain procedures and equipment to caregivers.


• Encourage caregivers to ask questions.


• Involve child life specialist and social services in the care to support
  the child and family.

1. A chest radiograph will be ordered for which of the following purposes?
   a. Display the bones of chest and vessels of the heart.
   b. Evaluate the vascular anatomy outside of the heart.
   c. Show a graph of the electrical activity of the heart.
   d. Determine heart size and pulmonary blood flow patterns.
   Answer:


2. Surgery for patent ductus arteriosus (PDA) prevents which of the following compli-
   cations?
   a. Cyanosis
   b. Pulmonary vascular congestion
   c. Decreased workload on left side of heart
   d. Left-to-right shunt of blood
   Answer:

✔ ROUTINE CHECKUP 2

Coarctation of the Aorta

What Went Wrong?

Coarctation of the aorta (COA) is a narrowing located near the insertion of the

ductus arteriosus. This alteration results in

Increased pressure in the head and neck area

Decreased pressure distal to the obstruction in the body and lower

extremities

Sign and Symptoms

High blood pressure and bounding pulses in the upper extremities.

Lower extremities cool with decreased pulses and blood pressure.

Symptoms of CHF.

2

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