A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta. Which of the following statements should the nurse include?
Explanation & Rationale
A. "Surgical repair is the recommended treatment for infants younger than 6 months old." For infants with coarctation of the aorta, especially those under 6 months, surgical repair is typically the preferred treatment. It offers definitive correction of the obstruction and helps prevent complications like heart failure or hypertension. B. "The obstruction will be treated with a medication called indomethacin.": Indomethacin is used to close a patent ductus arteriosus (PDA), not to treat coarctation of the aorta. In fact, in some cases of coarctation, maintaining ductal patency with prostaglandins is temporarily helpful before surgery. C. "Most cases resolve spontaneously without treatment by 12 months of age.": Coarctation of the aorta does not resolve on its own. Without intervention, it can lead to severe complications including congestive heart failure, poor perfusion, and even death. D. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant.": A heart transplant is not a standard treatment for coarctation of the aorta. Most infants with this condition are treated successfully with surgical or catheter-based interventions, not transplantation.