Author Question: The nurse is caring for an infant diagnosed with failure to thrive. The nurse observes the physician ... (Read 51 times)

xroflmao · **on:** Jun 27, 2018

The nurse is caring for an infant diagnosed with failure to thrive. The nurse observes the physician taking blood pressures in all four extremities and recognizes that the congenital cardiac defect suspected is

1. tetralogy of fallot.
2. pulmonary atresia.
3. coarctation of the aorta.
4. ventricular septal defect.

Question 2

The nurse is completing a physical examination of a 4-year-old child. The best position to place the child in for assessment of the genitalia would be

1. frog leg position.
2. right side-lying.
3. supine,legs at a 50-degree angle.
4. prone position,knees drawn upunder body.

flannelavenger · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:3
Rationale:Normally,blood pressures in the lower extremities are the same as or higher than upper-extremity blood pressures.But in coarctation of the aorta,the narrowing of the aorta causes decreased blood flow to the lower extremities and thus lowerextremity blood-pressure readings are significantly lower than upper-extremity readings. There are minimal differences between upper and lower blood-pressure readings in tetralogy of fallot,pulmonary atresia,and ventricular septal defect.

Answer to Question 2

Answer:1
Rationale:Having the child lie supine,flexing their knees and pulling them up to a frog-legged position allows for accurate assessment of the genitalia and is the more well tolerated position in the majority of children.