A 5yearold child has an elevated blood pressure during a well child exam. The
primary care pediatric nurse practitioner notes mottling and pallor of the child's feet and lower legs and auscultates a systolic ejection murmur in the left infraclavicular region radiating to the child's back. The nurse practitioner will suspect which condition?

Question

A 5­year­old child has an elevated blood pressure during a well child exam. The
primary care pediatric nurse practitioner notes mottling and pallor of the child's feet and lower legs and auscultates a systolic ejection murmur in the left infraclavicular region radiating to the child's back. The nurse practitioner will suspect which condition?

Quizplus · Accepted Answer

The presence of mottling and pallor of the child's feet and lower legs, along with a systolic ejection murmur in the left infraclavicular region radiating to the child's back, suggests coarctation of the aorta. This condition can cause elevated blood pressure in the arms and decreased blood pressure in the legs due to a narrowing of the aorta. It is important to promptly diagnose and treat coarctation of the aorta to prevent potential complications such as heart failure, stroke, or aortic rupture.

A 5­year­old Child Has an Elevated Blood Pressure During a Well

A 5yearold Child Has an Elevated Blood Pressure During a Well