(Select all that apply): A nurse is educating a group of parents about congenital heart defects in children.
Which factors may contribute to the development of congenital heart defects in children? Select all that apply.

Choice A rationale:

A physical examination is an essential part of the nursing assessment for a child with a congenital heart defect.

It helps the nurse identify physical signs and symptoms that may be indicative of the heart defect.

Choice B rationale:

Assessing growth and development is crucial when caring for a child with a congenital heart defect.

This helps monitor the child's overall health and well-being and can detect any developmental delays or issues related to the heart condition.

Choice C rationale:

Oxygen saturation monitoring is important for children with congenital heart defects as it helps assess the effectiveness of their oxygen delivery and may indicate the need for interventions or adjustments in their care.

Choice D rationale:

A feeding assessment is necessary for children with congenital heart defects as they may experience difficulties with feeding due to limited energy and respiratory issues.

Ensuring adequate nutrition is essential for their growth and development.

Choice E rationale:

Genetic testing is not typically a part of the routine nursing assessment for a child with a congenital heart defect.

While some heart defects may have a genetic component, this is not a standard part of the assessment process.

Choice A rationale:

Checking the child's oxygen saturation using a pulse oximeter is an appropriate action during the assessment of a child with a congenital heart defect.

Oxygen saturation monitoring helps assess the child's oxygen levels, which is crucial in determining the adequacy of oxygen supply to the body.

Children with congenital heart defects are at risk of reduced oxygen levels, and monitoring oxygen saturation is a vital part of their care.

Choice B rationale:

Ensuring the child receives all their vaccinations is important for the child's overall health but is not directly related to the assessment of a congenital heart defect.

Vaccinations are typically administered as part of routine healthcare, but they do not address the specific concerns related to a congenital heart defect assessment.

Choice C rationale:

Assessing the child's neurological development is important but is not the primary focus of the assessment for a congenital heart defect.

While neurological assessment is important for overall child development, it does not directly relate to the cardiac assessment.

Choice D rationale:

Monitoring the child's growth based on height alone is not a comprehensive assessment for a child with a congenital heart defect.

Monitoring growth should include various parameters, such as weight, head circumference, and developmental milestones.

Relying solely on height may not provide a complete picture of the child's overall development.