A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

Frequent nosebleeds

Increased intracranial pressure

Upper extremity hypotension

Weak femoral pulses

Answer and Explanation

The Correct Answer is D

A. Frequent nosebleeds: While hypertension can occur in coarctation of the aorta, frequent nosebleeds are not a typical finding associated with this condition.

B. Increased intracranial pressure: This is not a direct finding of coarctation of the aorta. Increased intracranial pressure may be related to other conditions, but it is not specifically expected in this context.

C. Upper extremity hypotension: In coarctation of the aorta, the upper extremities usually experience higher blood pressure due to the narrowing of the aorta distal to the branches supplying the arms. Therefore, hypotension in the upper extremities is not expected.

D. Weak femoral pulses: This is an expected finding in coarctation of the aorta, as the narrowing of the aorta can lead to decreased blood flow to the lower body, resulting in weak or diminished femoral pulses compared to the upper extremities.

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Correct Answer is C

Explanation

A. "I try to respond to the baby quickly so she doesn't cry very long.": This statement reflects a positive parenting behavior, indicating the parent is attentive and responsive to the baby's needs, which is protective against child abuse.

B. "I want to meet other parents to see if they are going through the same thing.": This shows a desire for social support and connection, which is a healthy response to the challenges of parenting.

C. "I think the baby should be sleeping through the night by now.": This statement can indicate unrealistic expectations about infant behavior. It may suggest frustration and a lack of understanding of normal infant sleep patterns, which can increase stress and risk for abusive behaviors if the parent feels overwhelmed.

D. "I have several friends who come by to help out with the baby.": This indicates a support system, which is protective and beneficial for a new parent, reducing the likelihood of stress and potential abuse.

A. "A nurse will draw blood from your baby's inner elbow." B. "This test should be performed after your baby is 24 hours old." C. "This test will be repeated when your baby is 2 months old." D. "Your baby will be given 2 ounces of water to drink prior to the test."

Correct Answer is B

Explanation

A) "A nurse will draw blood from your baby's inner elbow.": This statement is misleading, as newborn screening is typically performed using a heel prick to collect blood from the heel rather than drawing blood from the inner elbow, which is not standard practice for infants.

B) "This test should be performed after your baby is 24 hours old.": This is correct. Newborn genetic screening is ideally conducted after the baby is at least 24 hours old to ensure accurate results, especially for metabolic conditions that may not be detectable earlier.

C) "This test will be repeated when your baby is 2 months old.": This statement is inaccurate. While some follow-up tests may be conducted, routine newborn screening is typically not repeated at 2 months unless there are abnormal results from the initial screening.

D) "Your baby will be given 2 ounces of water to drink prior to the test.": This statement is incorrect, as newborns are usually not given water before the screening test. The test is performed without prior hydration, and feeding may not be necessary right before the heel prick.

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A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

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