Author Question: A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when ... (Read 82 times)

tnt_battle

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A newborn is diagnosed with coarctation of the aorta. Which assessment should the nurse make when caring for this infant?
 
  A) Observing for excessive crying
  B) Auscultating for a cardiac murmur
  C) Assessing for the presence of femoral pulses
  D) Recording an upper extremity blood pressure

Question 2

The nurse is planning a program for community family members that focuses on the 2020 National Health Goals to improve cardiovascular health. Which content should the nurse include in this program? (Select all that apply.)
 
  A) Measures to reduce obesity
  B) Importance of daily exercise
  C) Starting reduced-fat diets upon birth
  D) Engaging in stress-reduction activities
  E) Following a diet that supports heart function



sailorcrescent

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Answer to Question 1

C
Feedback:
If the coarctation is slight, absence of palpable femoral pulses from the decreased blood pressure in the lower body may be the only symptom seen. To help detect this, the nurse should always include evaluation of femoral pulses in all initial newborn assessments and admission inspections to newborn nurseries. Excessive crying, cardiac murmur, and blood pressure changes are not manifestations of coarctation of the aorta.

Answer to Question 2

A, B, E
Feedback:
Nurses can help the nation achieve the 2020 National Health Goals by educating parents and children about the importance of reducing obesity and planning exercise and nutrition programs for sound cardiovascular health. Parents should be cautioned not to start their children on reduced-fat diets until they are 2 years old to allow for myelination of nerve cells. Stress-reduction activities are not identified as actions to achieve the 2020 National Health Goals for cardiovascular health.



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