Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?
Recording an upper extremities,
Assessing for the presence of femoral pulses
Observing for excessive crying
Auscultating for a cardiac murmur
The Correct Answer is A
A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.
B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.
C. Excessive crying is not a specific indicator of coarctation of the aorta.
D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Testing urine for ketones is important during illness as it can indicate the presence of ketoacidosis, a potentially life-threatening complication in children with type 1 diabetes.
B. Withholding insulin during illness is dangerous, as the body may require more insulin due to increased stress and glucose production.
C. While notifying the provider for high blood glucose levels is essential, it is not the first action to take. Monitoring for ketones is crucial during illness.
D. Limiting fluid intake is not advised during illness, as adequate hydration is important to prevent dehydration and assist in glucose regulation.
Correct Answer is D
Explanation
A. Temper tantrums are not classified as a learning disability; they are a normal part of toddler development.
B. A psychological consult is not necessary unless tantrums are severe or persistent and interfere significantly with the child's functioning or development.
C. Leaving the room during a tantrum may not be advisable; it is better to stay calm and ensure the child's safety while they express their frustration.
D. Temper tantrums are a normal developmental phase where toddlers express frustration and attempt to gain control of their environment. Understanding this helps parents manage tantrums effectively and respond appropriately.
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