The parents of a child with transposition of the great vessels ...

[shofmannx20]

The parents of a child with transposition of the great vessels ask the nurse why the child looks blue. Which response by the nurse is the most appropriate?
 
  A.
  Her body gets blood that doesn't have much oxygen.
  B.
  Her lungs are underdeveloped and underperfused.
  C.
  She is not able to regulate her temperature and is cold.
  D.
  This is very unusual for this condition, so I'll ask the doctor.

Question 2

The mother of a toddler reports to the nurse that the child becomes cyanotic when he cries. Which question by the nurse is most important to ask the mother?
 
  A.
  Does he squat while he cries?
  B.
  How long does the cyanosis last?
  C.
  Is he growing normally?
  D.
  What was his birth weight?

[jordangronback]

Answer to Question 1

ANS: A
In this condition, the aorta arises from the right side of the body, so systemic circulation consists of oxygen-poor blood. The other answers are not appropriate.

Answer to Question 2

ANS: A
The mother is describing a tet spell, which is a hallmark sign of tetralogy of Fallot. A child with this condition becomes cyanotic when playing or crying and draws his or her legs up or squats. By doing this, the child lowers his or her pulmonary vascular resistance and relieves the cyanosis. The other questions are important, but will not give information specific to this condition.

[shofmannx20]

Thank you

[jordangronback]

No problemo