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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse in a provider's office is collecting baseline preoperative data from a 5-month-old infant who has coarctation of the aorta. Which of the following locations should the nurse palpate to check for the presence of the infant's femoral pulse? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer)

    Explanation & Rationale

    A: This corresponds to the pedal/dorsalis pedis pulse area. While distal pulses are assessed, they would likely be even weaker than the femoral pulses in coarctation and are not the primary site for a "femoral" check. B: This location corresponds to the inguinal crease where the femoral artery is most accessible in an infant. Assessing this pulse is critical for a child with coarctation of the aorta, as a classic clinical manifestation of this condition is weak or absent femoral pulses compared to strong upper-extremity pulses. C: This corresponds to the brachial pulse area. In an infant with coarctation, the nurse would expect this pulse to be bounding or significantly stronger than those in the lower extremities due to high pressure in the arteries proximal to the aortic narrowing.

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