MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A baby, exhibiting no obvious symptoms of congestive heart failure has been diagnosed with a small ventricular septal defect. Which of the following information should the nurse explain to the baby’s parents.
A
The baby will most likely need open heart surgery with a week
B
The defect will likely close without therapy
C
The defect likely developed early in the second trimester
D
The baby will likely be placed on a high-calorie formula
Explanation: 

Detailed explanation-1: -Difficulty eating or may not eat as fast or as well as other babies. They can become very sweaty with feedings because of the extra work needed to eat. The liver may also be enlarged due to congestion on the right side of the heart and may be more easily palpated (felt).

Detailed explanation-2: -A VSD allows oxygen-rich (red) blood to pass abnormally from the left ventricle through the opening in the septum. Then it mixes with oxygen-poor (blue) blood in the right ventricle. A large VSD can cause high pressure in the blood vessels in the lungs. The higher pressure can lead to lower oxygen levels in the body.

Detailed explanation-3: -These include: Poor growth and development. High blood pressure in the blood vessels between the heart and lungs (pulmonary hypertension) Irregular heartbeats (arrhythmias)

Detailed explanation-4: -Visible swelling of the legs, ankles, eyelids, face, and (occasionally) abdomen. Abnormally fast breathing. Shortness of breath or labored breathing. Fatigue. Nausea. Falling asleep when feeding or becoming too tired to eat. Lack of appetite. More items

There is 1 question to complete.