A father asks why his child with Tetralogy of Fallot seems to favor a squatting position. What is the nurse's best response?
Explanation & Rationale
A. Squatting increases the return of venous blood flow to the heart: Squatting increases systemic vascular resistance and venous return, which helps to increase oxygenation in children with Tetralogy of Fallot, as it reduces the right-to-left shunting and increases blood flow to the lungs. B. Squatting in common resting position when a child is tachycardic: While squatting can be used to manage symptoms, this answer is misleading as squatting specifically helps in increasing blood flow and decreasing the symptoms of cyanosis in Tetralogy of Fallot, not just during tachycardia. C. Squatting decreases arterial blood flow away from the heart: Squatting actually increases blood flow to the heart and lungs by increasing systemic vascular resistance. D. Squatting increases the workload of the heart: Squatting helps reduce the workload on the heart in Tetralogy of Fallot by improving oxygenation and decreasing cyanosis.