NURS 629 EXAM 3 MARYVILLE MVU PEDI/OB QUESTIONS AND
ANSWERS
Asthma is disruptive several times during the night/interrupting sleep at least 3 times a week,
what's the next step? Correct Ans-Moderate persistant; prescribe inhaled steroid (flovent)
Causative organism of bronchiolitis Correct Ans-(RSV) Respiratory syncytial virus most
likely cause
what type of murmur is caused by normal blood flow thru normal cardiac structures in up to
80% children; Midsystolic; can come and go; Gets louder with fever, exercise, and anxiety
Correct Ans-functional or innocent murmur
When do innocent murmurs develop? Correct Ans-(book p 763) age 3-4; (module 10 lect)
age 2-6
type of murmur caused by turbulent blood flow caused by a defect or abnormal cardiac
structures; Dystolic; Grade ≥ IV; increases with sitting or standing Correct Ans-pathological
murmur
symptoms of croup Correct Ans-· Barking cough
· Fever
· URI symptoms
s/s of bronchiolitis Correct Ans-· inspiratory and expiratory wheezing accompanied by:
*URI symptoms including profuse clear nasal discharge
When to use inhaler to treat exercise induced asthma Correct Ans-Use rescue inhaler 15-
30 minute prior to activity
Condition caused by a defect or hole in the atrial septum Correct Ans-Atrial Septum Defect
(ASD)
When should children be screened for hyperlipidemia? Correct Ans-between 9-11 years
then 17-21 years
Idiopathic multisystem disease characterized by vasculitis of small and medium blood vessels
including coronary arteries Correct Ans-Kawasaki
What can develop in 15% - 25% of untreated children with Kawasaki disease? Correct Ans-
Coronary artery aneurysms
Clinical findings of Kawasaki disease (requires 4/5 to diagnose) Correct Ans-*Change in
extremities (edema, erythema, PEELING HANDS)
*Polymorphous exanthem (truncal)
*Conjunctival injection
*Erythema or fissuring of lips and oral cavity
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