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. A stool fat content analysis can indicate malabsorption issues but is not definitive for cystic fibrosis.
B. Pulmonary function tests assess lung function but do not confirm cystic fibrosis.
C. The sweat chloride test is the primary diagnostic test for cystic fibrosis, as it measures the amount of chloride in sweat, which is elevated in this condition.
D. A sputum culture can help identify respiratory infections but does not confirm cystic fibrosis.
Correct Answer is D
Explanation
A. Developing autonomy is typically associated with increased independence and exploring new skills, not behaviors seen in a distressed or hospitalized child.
B. While anxiety may be present, the behavior of turning away and thumb-sucking more strongly suggests regression.
C. Resentment toward the mother would not typically result in the described behavior of thumb-sucking and turning away from the nurse.
D. Regression is when a child reverts to earlier behaviors, such as thumb-sucking, as a coping mechanism in response to stress or separation from the primary caregiver.
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