A newborn child is diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in the child?
a. High-pitched cry and dyspnea
b. Cyanosis and hypoxia
c. Leg pain and twitching
d. Epistaxis and anemia
ANS: B
The child will experience cyanosis and hypoxia. This type of shunt decreases flow through the pulmonary system, causing less than normal oxygen delivery to the tissues and resultant cyanosis. It will not cause a high-pitched cry. It will not cause leg pain; leg pain occurs in coarctation of the aorta. Epistaxis is associated with coarctation of the aorta.
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