A nurse is discussing the importance of prenatal care in relation to congenital heart diseases. Which statement should the nurse include in the teaching?

A) The answer is A. Premedicating with an antipyretic before the dental procedure can help prevent bacterial endocarditis, a severe infection in clients with certain congenital heart diseases.

B) Incorrect. Antibiotic prophylaxis is recommended for some clients with congenital heart diseases to prevent bacterial endocarditis. The client should consult their healthcare provider for appropriate prophylactic measures.

C) Incorrect. The timing of the surgery in the afternoon does not significantly impact recovery. The appropriate timing should be determined by the healthcare provider and the client's medical condition.

D) Incorrect. Aspirin is an anticoagulant, and the client should consult their healthcare provider about the management of aspirin therapy before any surgical procedure.

A) Correct answer. Weight gain and edema in the lower extremities can be signs of worsening heart failure in children with congenital heart defects. Fluid retention occurs due to the heart's inability to effectively pump blood, leading to fluid accumulation in the body.

B) This option is incorrect. While decreased heart rate and blood pressure within the normal range may be indicative of stable heart function, they are not specific indicators of worsening heart failure.

C) This option is incorrect. Improved appetite and increased physical activity level are positive indicators but do not specifically reflect the child's heart failure status.

D) This option is incorrect. Resolution of cyanosis and pink coloration of the lips and nail beds are positive signs of improved oxygenation and may indicate effective management of the heart defect but not the potential worsening of heart failure.