Coarctation of the aorta demonstrates few symptoms in newborns.
What is an important assessment for the nurse to make on all newborns to help reveal this condition?
Auscultating for a cardiac murmur.
Recording blood pressure in upper extremities.
Assessing for the presence of femoral pulses.
Observing for excessive crying.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Auscultating for a cardiac murmur can be helpful but is not the most specific assessment for coarctation of the aorta. Murmurs can be present in various cardiac conditions.
Choice B rationale
Recording blood pressure in the upper extremities alone is not sufficient. Coarctation of the aorta often presents with a discrepancy between upper and lower extremity blood pressures.
Choice C rationale
Assessing for the presence of femoral pulses is crucial. In coarctation of the aorta, there is decreased blood flow to the lower extremities, leading to weak or absent femoral pulses.
Choice D rationale
Observing for excessive crying is non-specific and can be associated with many conditions, not just coarctation of the aorta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale
Temper tantrums are not a type of learning disability. They are a normal part of toddler development and are a way for toddlers to express frustration and assert independence.
Choice B rationale
Leaving the room while a tantrum is happening is not recommended. It is important for parents to stay calm and present, providing a safe environment for the child. Ignoring the tantrum while staying nearby can help the child learn to self-regulate.
Choice C rationale
Psychological consults are not typically necessary for temper tantrums. Temper tantrums are a normal part of development and usually decrease as the child learns to communicate and manage emotions better.
Choice D rationale
Temper tantrums are indeed the toddler’s attempt to gain control of a situation. Toddlers often have tantrums when they are unable to express their needs or when they are frustrated by their lack of control over their environment. Understanding this can help parents respond appropriately and support their child’s emotional development.
Correct Answer is ["C","E"]
Explanation
Choice A rationale:
Evaluating the infant’s pain level using the FACES Scale is not appropriate for infants. The FACES Scale is typically used for children aged 3 years and older.
Choice B rationale:
Offering the infant small, frequent feedings of thickened liquids is not recommended in this scenario. The infant is on NPO (nothing by mouth) status due to the forceful vomiting and risk of aspiration.
Choice C rationale:
Measuring the infant’s head circumference is important to assess for any signs of increased intracranial pressure or hydrocephalus, which can be associated with vomiting.
Choice D rationale:
Implementing contact precautions is not necessary unless there is a known or suspected infectious cause for the vomiting.
Choice E rationale:
Weighing the infant is crucial to monitor for any significant weight loss, which can indicate dehydration or other underlying issues.
Choice F rationale:
Planning to administer a plain water enema to the infant is not appropriate in this scenario. The primary concern is the forceful vomiting, and an enema would not address this issue.
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