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.
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Related Questions
Correct Answer is C
Explanation
A. Reading a story is beneficial but does not directly support the toddler's developmental task of autonomy and initiative.
B. Feeding the toddler is a basic need but does not support the development of independence.
C. Allowing the toddler to pull a talking-duck toy supports their developmental task of autonomy and initiative by promoting physical activity and exploration.
D. Watching a puppet show is a passive activity and does not foster the active exploration needed for this developmental stage.
Correct Answer is C
Explanation
A. Distended neck veins are not associated with pyloric stenosis.
B. A ridged abdomen is not typical of pyloric stenosis; rather, an olive-shaped mass may be palpated in the right upper quadrant.
C. Projectile vomiting is a hallmark sign of pyloric stenosis due to the obstruction at the pylorus, preventing food from passing into the small intestine.
D. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
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