Ace Your Wong's Nursing Care of Infants and Children, 11th Ed., Hockenberry, Wilson & Rogers Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing. Whether you're studying for your classes or getting ready for a big exam, we're here to help.

get premium

Wong's Nursing Care of Infants and Children, 11th Ed., Hockenberry, Wilson & Rogers | Registered Nurse (RN) School Study Aid

Fetal Circulation

Placenta

Umbilical Vein

Ductus Venosus

Right Atrium

Foramen Ovale

Left Atrium

Aorta

Right Ventricle

Ductus Arteriosus

Umbilical Arteries

2 mins

Postnatal Circulation

Infant Breathes

Decreased Pressure in Pulmonary Vasculature

Decreased Right Heart Pressure

Increased Left Atrial Pressure

Closes Foramen Ovale

Increased O2

Decreased Prostaglandins

Closed Ductus Arteriosus

Open with Prostaglandins

Closed with Indomethacin

3 mins

Cardiac Cycle - Diastole

Aortic Valve Closes

Pulmonary Valve Closes

Ventricles Relax

Mitral Valve Opens

Tricuspid Valve Opens

Ventricles Fill

Sinoatrial (SA) Node Fires

Atrial Contraction

3 mins

Cardiac Cycle - Systole

AV Node

AV Node Conducts Signal to Bundle of His

Bundle of His Signals Purkinje Fibers to Contract Ventricles

Tricuspid Valve Closes

Pulmonary Valve Opens

Mitral Valve Closes

Aortic Valve Opens

2 mins

ECG Interpretation

Rate

Rhythm

P Waves

Upright, Rounded, Before Every QRS

PR Interval (< 0.20 seconds)

Normal QRS (< 0.12 seconds)

2 mins

Magnetic Resonance Imaging (MRI)

Internal Body Images

Detects Variations of Soft Tissues

No Metal Objects

No Pacemakers

Contrast is Non-Iodine

Safe During Pregnancy

Long Procedure

Antianxiety Medications

2 mins

Cardiac Catheterization

Fluttering Sensation

Contrast Media

NPO 6-12 Hours

Bed Rest

Assess Circulation

Assess for Bleeding

Monitor Vital Signs

2 mins

Types of Heart Failure

Left Sided

Pulmonary Congestion

Right Sided

Peripheral Edema

High Output

Unable to Meet Metabolic Needs

1 min

Right Heart Failure Assessment

Jugular Venous Distention (JVD)

Peripheral Edema

Hepatosplenomegaly

Nocturia

Weight Gain

Ascites

Fatigue

1 min

Left Heart Failure Assessment

Pulmonary Congestion

Pink Frothy Sputum

Wheezing or Crackles

Dyspnea with Exertion

Cough

Fatigue

Tachycardia

Weak Peripheral Pulse

S3, S4 Heart Sounds

1 min

Heart Failure Interventions

Echocardiogram

Invasive Hemodynamic Monitoring

High Fowler's Position

Oxygen

Advanced Airway

Diuretics

Beta Blockers

Angiotensin II Receptor Blockers (ARBs)

ACE Inhibitors

Digoxin (Lanoxin)

Pacemaker

2 mins

Angiotensin-Converting Enzyme (ACE) Inhibitors

"-pril" Suffix

Block Renin Angiotensin-Aldosterone System (RAAS)

Hypertension

Heart Failure

Dry Non-productive Cough

Hypotension

Dizziness

Possible Hyperkalemia

Angioedema

Slowly Change Position

Do Not Stop Abruptly

2 mins

Spironolactone (Aldactone)

Inhibition of Aldosterone

Potassium Retention

Hypertension

Edema

Heart Failure

Hyperkalemia

Endocrine Effects

Avoid Potassium Supplements

2 mins

Beta Blockers

"-olol" suffix

Decreases Heart Rate and Contractility

Decreases Peripheral Vascular Resistance

Decreases Renin Release

Hypertension

Heart Failure

Angina Pectoris

Asthma and Heart Block Patients

Assess Blood Pressure and Heart Rate

Masking Signs of Hypoglycemia

Do Not Stop Abruptly

2 mins

Hydrochlorothiazide HCTZ

Inhibits Reabsorption NaCl and H₂O

Edema

Mild to Moderate Hypertension

Hypokalemia

Hyponatremia

Dehydration

Hyperglycemia

Gout

Sulfa Allergy

Pregnancy and Breastfeeding

1 min

Digoxin (Lanoxin)

Increases Inotropy

Heart Failure

Atrial Fibrillation

Bradycardia

Fatigue

Heart Block

Heart Rate Below 60

Hypokalemia

Monitor for Toxicity and Visual Changes

Digibind

2 mins

Acute Digoxin Toxicity

Hyperkalemia

Cholinergic (Nausea, Vomiting, Diarrhea)

Blurry Yellow Green Vision with Halo of Light

Arrhythmia

Bradycardia

Prolonged PR interval

Decreased QT

Scooping on EKG

T Wave Inversion

2 mins

Digoxin Toxicity Treatment

Activated Charcoal

Slowly Normalize K+

Digibind (Anti-Digoxin Fab)

Magnesium Sulfate

Lidocaine

Cardiac Pacing

2 mins

Patent Ductus Arteriosus

Continuous

Machine like murmur

Often Due to Congenital Rubella

Prematurity

1 min

Aortic Stenosis

Age-related Calcifications

Bicuspid Aortic Valve

Crescendo-decrescendo Murmur

Systolic Murmur

Ejection Murmur

Ejection Click

Radiates to Carotids and Apex

Pulsus Parvus et Tardus

Syncope

Helmet Cells

2 mins

Tetralogy of Fallot (TOF)

Blue Baby Syndrome

PROVe Acronym

Pulmonary Infundibular Stenosis

Right Ventricular Hypertrophy

Overriding Aorta

Ventricular Septal Defect (VSD)

Boot-Shaped Heart

Squatting for Tet Spells

Surgery

2 mins

Chest Tubes: Management and Care

Confirm suction order

Crepitus

Kinking

Shortness of Breath (SOB)

Infection

Excessive bubbling

If tube dislodges from patient, use petroleum gauze taped 3 ways

If drainage system is damaged, place disconnected drainage tube in sterile water

1 min

Cardiac Tamponade

Fluid in the Pericardial Sac

Pericarditis

Decreased Cardiac Output

Beck's Triad

Hypotension

Jugular Venous Distention (JVD)

Distant Heart Sounds

Pulsus Paradoxus

Electrical Alternans

Pericardiocentesis

1 min

Endocarditis Assessment

Infection of Inner Layer and Valves

Fever

Fatigue

New or Changed Murmurs

Roth's Spots

Splinter Hemorrhages

Janeway Lesions

Osler's Nodes

Heart Failure

Embolization

2 mins

Endocarditis Interventions

IV Antibiotics

4-6 Weeks

Anticoagulants

Good Hygiene

Closely Monitor

Antibiotic Prophylaxis

Dental Procedures

Invasive Procedures

1 min

Rheumatic Fever Assessment

Aschoff Bodies

Carditis

Subcutaneous Nodules

Polyarthritis

Chorea

Erythema Marginatum

Fever

Arthralgia

Elevated ESR and C-reactive Protein

Rheumatic Heart Disease

2 mins

Rheumatic Fever Interventions

Antibiotics

Prophylactic Treatment

Relieve Joint Pain

Prevent Cardiac Complications

Educate Chorea is Temporary

1 min

Kawasaki Disease

Acute Vasculitis

High Fever

Conjunctivitis

Strawberry-Red Tongue and Mucosa

Erythema and Edema of Hands and Feet

Desquamative Skin Rash

Aspirin

Intravenous Immunoglobulin (IVIG)

Antipyretics

Coronary Aneurysm

Children < 5 Years old

2 mins

Aspirin (Acetylsalicylic Acid)

Inhibits Platelet Aggregation

NSAID

Thrombotic Event Prevention

General Pain

Inflammatory Conditions

Fever

Pancytopenia

GI Ulcers

Bleeding

Withhold Before Surgery 7-10 Days

Reye's Syndrome

2 mins

Hypertension Assessment

Essential Hypertension

Secondary Hypertension

Headache

Vision Changes

Nosebleed (Epistaxis)

Chest Pain

Syncope (Fainting)

Average 2 Sets, 2 Minutes Apart

After 2 or More Visits (within 1-4 weeks)

Take BP Both Arms

Common in African Americans

2 mins

Primary Hypertension Risk Factors

Excessive Alcohol Consumption

High Sodium Diet

Dyslipidemia

Obesity

People of African Descent

Advanced Age

Vitamin D Deficiency

Reduced Nephron Number

Diabetes

Lack of Physical Activity

2 mins

Hypertension Intervention

Weight Reduction and Exercise

Diet Changes

Relaxation Techniques

Smoking Cessation

Medications

Encourage Self Monitoring

1 min

Hypertension Medications

Diuretics

ACE Inhibitors

Angiotensin Receptor Blockers (ARBs)

Beta Blockers

Dihydropyridine Calcium Channel Blockers

2 mins

Calcium Channel Blockers (Verapamil and Diltiazem)

Slows AV Conduction

Angina Pectoris

Arrhythmias

Essential Hypertension

Bradycardia

Hypotension

Constipation

Peripheral Edema

Gingival Hyperplasia

Medication Education

2 mins

Therapeutic Diets

High Fiber

Low Residue (Fiber)

Low Sodium

Low Cholesterol

Diabetic

Renal

Dysphagia

Diet Education

2 mins

Loop Diuretics

Thick Ascending Limb of Loop of Henle

Inhibits Na+-K+-2Cl-

Sulfa Drug

Furosemide

Lasix

Ototoxicity from Rapid Injection

Gout

Dehydration

Hypocalcemia

Hypokalemia

Orthostatic Hypotension

2 mins

Angiotensin II Receptor Blockers (ARBs)

Ends in "-sartan"

Blocks Angiotensin II Receptor

Hypertension

Angioedema

Renal Artery Stenosis

Pregnancy

1 min

Hydralazine (Apresoline)

Severe Hypertension

CHF

Reduced Afterload

Pregnancy

Vasodilates Arterioles

Drug-induced Lupus

Reflex Tachycardia

Hypotension

Combined with Diuretic and Beta Blocker

1 min

Atorvastatin (Lipitor)

-statin Suffix

HMG-CoA Reductase Inhibitors

High Cholesterol

Hepatotoxicity

Rash

Rhabdomyolysis

Myopathy

Monitor Liver Enzymes

Administer at Bedtime

Avoid Grapefruit

2 mins

Religion and Dietary Preferences Overview

Buddhism

Natural Foods of Earth

Hinduism

Cow is Sacred

Islam (Muslim)

Halal Foods

No Alcohol

Judaism

Kosher Meals

No Pork or Shellfish

Mormonism (Latter Day Saints)

The Word of Wisdom

1 min

ECG: Sinus Tachycardia

> 100 bpm

Regular

Present, Upright, Every QRS

< 0.20 seconds

< 0.12 seconds

Treat Underlying Cause

2 mins

ECG: Sinus Bradycardia

< 60 bpm

Regular

Present, Upright, Every QRS

< 0.20 seconds

< 0.12 seconds

Atropine

1 min

Hypertrophic Cardiomyopathy Mechanisms

2/3 Autosomal-Dominant

1/3 Sporadic Type

Mutation in Gene for Sarcomere Protein

Cardiac Myosin Binding Protein C

Asymmetric Septal Hypertrophy

Outflow Tract Obstruction

Diastolic Dysfunction

2 mins

Hypertrophic Cardiomyopathy Signs, Symptoms and Treatment

Sudden Death Of Young Athlete

Heart Failure

Angina

Arrhythmias

Syncope

Harsh Systolic Ejection Murmur

S4 Heart Sound

Beta Blocker

Non-dihydropyridine Calcium Channel Blocker

2 mins

Hypoxia (Early Symptoms)

Diaphoresis

Restlessness

Tachypnea

Dyspnea on Exertion

Tachycardia

Hypertension

Arrhythmias

Decreased Urine Output

Unexplained Fatigue

1 min

Hypoxia (Late Symptoms)

Cyanosis

Cool, Clammy Skin

Use of Accessory Muscles

Retractions

Hypotension

Arrhythmias

2 mins

Ace Your Registered Nurse (RN) Classes & Exams with Picmonic:

Over 1,990,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Registered Nurse (RN) student study app.

Picmonic for Registered Nurse (RN) covers information that is relevant to your entire Registered Nurse (RN) education. Whether you’re studying for your classes or getting ready to conquer your NCLEX®-RN, Hesi, ATI, TEAS test, Kaplan exams, we’re here to help.

Works better than traditional Registered Nurse (RN) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.

It's worth every penny

See more reviews