A 3-year-old is admitted to the hospital suspected of having congenital heart disease. Which of the following assessment findings is most likely to be seen?

Exercise intolerance


• A child with congenital heart disease is likely to have exercise and activity intolerance. The child would often self-limit activity and take frequent rest periods.

• Other signs and symptoms include shortness of breath, cyanosis, a heart murmur, underdeveloped muscles, poor feeding, and respiratory infections.

• Incorrect: Frequent kidney infections and mental retardation are not expected with congenital heart disease. Weight in the 20th percentile is still in the normal range.

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