A client asks the nurse about the role of medication use during pregnancy in the development of congenital heart diseases. How should the nurse respond?

A) This option is incorrect. Infants with congenital heart diseases may have feeding difficulties due to fatigue and inadequate oxygenation, which can affect their appetite and feeding patterns.

B) This option is incorrect. Feeding difficulties in infants with heart defects are common due to their increased energy expenditure and compromised cardiovascular function. These difficulties may require appropriate interventions and ongoing support.

C) Correct answer. Many infants with congenital heart diseases experience fatigue and increased energy expenditure due to their heart's extra workload. This can lead to feeding difficulties, inadequate weight gain, and slower growth.

D) This option is incorrect. Congenital heart diseases can significantly impact feeding patterns in infants, and special attention is required to support their nutritional needs.

A) The answer is A. Mild cyanosis during crying or feeding can indicate inadequate oxygenation and increased workload on the heart. This symptom requires immediate intervention to ensure proper oxygen supply to vital organs.

B) Incorrect. Occasional heart palpitations may not be a severe concern and may not require immediate intervention. However, the healthcare provider should still be notified for further evaluation.

C) Incorrect. Fatigue after physical activity is common in clients with congenital heart diseases due to compromised cardiac function. Although it needs attention, it does not require immediate intervention.

D) Incorrect. A heart murmur audible throughout systole and diastole can indicate structural heart abnormalities. While it requires medical follow-up, it may not need immediate intervention unless accompanied by other concerning symptoms.