A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?
Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities
Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities
The Correct Answer is D
A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta causes the opposite finding.
B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Blood pressure in the lower extremities is reduced due to decreased blood flow.
C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta leads to hypertension in the upper body due to increased resistance.
D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Correct. Coarctation of the aorta causes high BP in the arms and low BP in the legs due to obstructed blood flow past the narrowing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear. – Correct. Children with hemophilia can engage in non-contact activities with precautions.
B. Not allow your child to ride a bike or go skateboarding with their classmates. – Incorrect. Total restriction of activity is unnecessary and can negatively affect development.
C. Allow your child to play any sport they want to play. – Incorrect. Contact sports should be avoided to prevent bleeding episodes.
D. Not allow your child to play any sport due to the risk of injury. – Incorrect. Some activities like swimming, walking, and biking with protective gear are encouraged.
Correct Answer is D
Explanation
A. "Physical therapy will help me build up enough strength to do gymnastics." – Incorrect. Gymnastics is too high-impact for someone with brittle bones.
B. "I should tell my teachers that I cannot participate in physical education class." – Incorrect. Some low-impact activities may be beneficial, and complete avoidance of activity is not necessary.
C. "I can play sports as long as there is minimal contact with other players." – Incorrect. Even minor trauma can result in fractures, making sports risky.
D. "My bones may break easier than other people's, so I need to take precautions." – Correct. This demonstrates awareness of the condition and the importance of avoiding injury.
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