A two-month-old infant is hospitalized for repair of a ventricular septal defect. The infant’s admitting diagnosis is moderate congestive heart failure. What signs and symptoms would you expect to see in your assessment?

A. Tachypnea, tachycardia, and cough are common signs of congestive heart failure (CHF) in infants, resulting from fluid overload and impaired circulation. B. Overdiuresis and increased appetite are not typical of CHF; decreased appetite is more common in heart failure. C. Bradycardia and cyanosis are not typically observed in moderate CHF in infants. Bounding pulses may be seen, but bradycardia is not common. D. Pallor and abnormal capillary refill are more consistent with shock or severe circulatory issues, not with moderate CHF in an infant.