The nurse finds that an infant has stronger pulses in the upper extremities than the lower extremities and higher blood-pressure readings in the arms than the legs. This could be indicative of what heart defect?
1. Patent ductus arteriosus
2. Atrial septal defect
3. Transposition of the Great Vessels
4. Coarctation of the aorta
Answer:4
Rationale:Coarctation of the aorta may present with stronger pulses in the upper extremities than the lower extremities and higher blood-pressure readings in the arms than the legs because of obstruction of circulation to the lower extremities.
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