The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue. B. Frequent lung infections are common in children with VSD due to pulmonary congestion. C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive. D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion. E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.