The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities. Which assessment will the nurse perform next on this infant?

Pedal pulses.

Blood pressure of the four extremities.

Lower extremity reflexes.

Hemoglobin and hematocrit values.

Answer and Explanation

The Correct Answer is B

Choice A reason: Assessing pedal pulses is important, but it does not provide complete information about the circulatory status of the infant.
Choice B reason: This is the correct choice. Discrepancies in pulse strength between the upper and lower extremities may indicate a cardiovascular problem such as coarctation of the aorta, which can be further evaluated by comparing blood pressures in all four extremities.
Choice C reason: Lower extremity reflexes are not directly related to the strength of pulses.
Choice D reason: Hemoglobin and hematocrit values are important but would not be the next step in assessing the significance of the difference in pulse strength.

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Correct Answer is B

Explanation

Choice A reason: This statement is incorrect and could potentially increase feelings of guilt, as a lack of prenatal care is not a known cause of autism.

Choice B reason: This statement is accurate and can help alleviate guilt by explaining that autism is not caused by something the parents did or did not do.

Choice C reason: While it's true that parents without genetic testing could not have known, this statement does not address the feelings of guilt regarding causation.

Choice D reason: This statement is misleading because autism is not considered rare, and siblings can have an increased risk of autism spectrum disorders. It does not provide accurate information or address the parents' feelings of guilt.

A. Hemoglobin A1C of 6.2%. B. Fasting plasma glucose of 189 mg/dL (10.49 mmol/L). C. High-density lipoprotein of 40 mg/dL (1.03 mmol/L). D. Postprandial plasma glucose of 225 mg/dL (12.49 mmol/L).

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.

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The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities. Which assessment will the nurse perform next on this infant?

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