A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium. B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD. C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion. D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood. E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure