Which 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
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. Orthostatic hypotension is not present with coarctation of the aorta. Systolic hypertension may be detected in the upper extremities. The left arm may not accurately reflect systolic hypertension because the left subclavian artery can be involved in the coarctation.
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