A client with a newborn is concerned about the baby's frequent episodes of sweating, especially during feedings. What should the nurse explain about this clinical manifestation in some congenital heart diseases?

A) This option is incorrect. Frequent sweating during feedings is not a normal response to the increased workload of the baby's heart. It can indicate an underlying issue related to heart function.

B) This option is incorrect. While gastrointestinal discomfort may cause sweating during feedings, it is not the most likely explanation, especially in the context of congenital heart diseases.

C) This option is incorrect. Inability to regulate body temperature is not a common reason for sweating during feedings in infants with congenital heart diseases.

D) Correct answer. Excessive sweating during feedings can be a sign of increased cardiac effort and inadequate oxygen supply in some congenital heart diseases. This symptom may be present in babies with cyanotic heart defects, where oxygen-rich blood is not adequately circulated to the body, leading to compensatory mechanisms like sweating to maintain oxygen balance.

A) Incorrect. Encouraging high-intensity aerobic exercises daily is not appropriate for a client with a congenital heart disease, as it can put excessive strain on the heart and may not be safe.

B) The answer is B. Limiting physical activities to mild exercises and avoiding competitive sports is recommended for clients with congenital heart diseases to prevent overexertion and potential complications.

C) Incorrect. Complete restriction of physical activity for six months is not necessary for most clients with congenital heart diseases. It is essential to promote safe and appropriate physical activities.

D) Incorrect. Activities with prolonged standing may increase venous return and potentially worsen certain congenital heart conditions. The focus should be on low to moderate intensity exercises.

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