The diagnosis of hypertension depends on accurate assessment of blood pressure (BP). What is the appropriate technique to measure a child's BP?
a. Assess BP while the child is standing.
b. Compare left arm with left leg BP readings.
c. Use a narrow cuff to ensure that the readings are correct.
d. Measure BP with the child in the sitting position on three separate occasions.
ANS: D
The diagnosis of hypertension is made after the BP is elevated on three separate occasions. Take the BP in a quiet area with the appropriate size cuff and the child sitting. Although left arm and left leg BP readings may be compared, it is not the procedure to diagnose hypertension. The appropriate size cuff is indicated. The most common cause of inaccurate readings is the use of a cuff that is too small.
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