A child has coarctation of the aorta (CoA). The parents report ...

[Garrulous]

A child has coarctation of the aorta (CoA). The parents report that the child is hesitant to participate in activities due to aching in his legs. Which information does the nurse provide?
 
  A.
  Aching or pain is due to lower blood pressure in the legs.
  B.
  Encourage activity so that collateral circulation develops.
  C.
  Maybe he is getting to much blood pressure medication.
  D.
  Your child needs to rest and limit participation in activities.

Question 2

A nurse is admitting a child scheduled for a Fontan repair. Which condition does the nurse understand the child to have?
 
  A.
  Aortic stenosis
  B.
  Patent ductus arteriosus
  C.
  Pulmonary regurgitation
  D.
  Tricuspid atresia

[Cheesycrackers]

Answer to Question 1

ANS: A
In CoA, the blood pressure to the lower extremities is less than 10 mm Hg lower than the BP in the upper extremities. Normally, the lower extremity BP should be the same or higher. The lack of perfusion with oxygenated blood leads to pain or aching in the legs. The nurse provides accurate information about the condition. Developing collateral circulation is not a treatment methodology as you would see in peripheral arterial occlusions. The blood pressure is not lower due to medication; it is a manifestation of the condition. The child should participate as he is able and comfortable in order to maximize growth and development.

Answer to Question 2

ANS: D
A child scheduled for a Fontan repair has tricuspid atresia.