What is an expected assessment finding in a child with ...

[panfilo]

What is an expected assessment finding in a child with coarctation of the aorta?
 
  a. Orthostatic hypotension
  b. Systolic hypertension in the lower extremities
  c. Blood pressure higher on the left side of the body
  d. Disparity in blood pressure between the upper and lower extremities

Question 2

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that
 
  a. Bed rest and analgesics are the recommended treatment.
  b. She will be unable to conceive in the future.
  c. A D&C will be performed to remove the products of conception.
  d. Hemorrhage is the major concern.

[pocatato]

Answer to Question 1

D
Feedback
A Orthostatic hypotension is not present with coarctation of the aorta.
B Systolic hypertension may be detected in the upper extremities.
C The left arm may not accurately reflect systolic hypertension because the left
subclavian artery can be involved in the coarctation.
D The classic finding in children with coarctation of the aorta is a disparity in
pulses and blood pressures between the upper and lower extremities.

Answer to Question 2

D
Feedback
A The recommended treatment is to remove the pregnancy before hemorrhaging.
B If the tube must be removed, her fertility will decrease but she will not be
infertile.
C A D&C is done on the inside of the uterine cavity. The ectopic is located within
the tubes.
D Severe bleeding occurs if the fallopian tube ruptures.

[panfilo]

Excellent

[lcapri7]

TYSM