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. "The obstruction will be treated with a medication called indomethacin.": Indomethacin is used to close a patent ductus arteriosus, not to correct coarctation of the aorta. In fact, for coarctation, maintaining ductal patency with prostaglandin E may be necessary until surgery is performed. B. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant.": Heart transplant is not the standard treatment for coarctation of the aorta. Most infants undergo surgical or catheter-based interventions, which are effective. C. "Most cases resolve spontaneously without treatment by 12 months of age.": Coarctation of the aorta does not resolve on its own. Without treatment, it can lead to severe complications such as heart failure, hypertension, or even death, making timely intervention critical. D. "Surgical repair is the recommended treatment for infants younger than 6 months old.": Surgical repair is the treatment of choice for significant coarctation in infants, especially those younger than 6 months, to relieve obstruction and prevent complications such as left ventricular dysfunction and poor systemic perfusion.