A nurse is providing education to the family of a school aged child who has a history of atrial septal defect (ASD) with surgical repair done at 2 years of age. The child's caregivers ask the nurse if their child can play sports. Which of the following statements made by the nurse is most appropriate?

Rationale: A. "Your child can participate in activities like riding a bike, but should not participate in competitive sports.": Limiting participation in all competitive sports may be unnecessary for a school-aged child who had successful ASD repair with no residual defects. Over-restriction can negatively affect physical and social development. B. "Your child can participate in team sports as tolerated.": After surgical repair of an ASD and with normal cardiac function, children can generally engage in age-appropriate sports. Encouraging activity as tolerated allows gradual participation while monitoring for symptoms such as fatigue, palpitations, or shortness of breath. C. "Your child needs to limit their activity and cannot participate in any sports.": Total activity restriction is not indicated for a child with repaired ASD and normal cardiac function. Prolonged limitation could impede physical fitness, social skills, and psychosocial development. D. "Your child can participate only in non-contact sports such as joining a swim team.": Restricting the child to non-contact sports is unnecessary if the heart repair is complete and the child remains asymptomatic. Participation should be guided by tolerance and cardiac evaluation rather than an absolute restriction to certain types of sports.