Answer 1. A father is in the cardiac intensive care unit holding the hand of his 1-week-old daughter. Afterdischarge, the mother and father noted that the baby had rapid breathing and was a poor eater. Hercolor was mottled with crying and she seemed to sweat when distressed. They took the baby back to thepediatrician's office for a weight check and were immediately transported to a local children's hospitalfor cardiac evaluation. The parents believe they are responsible because the mother did not receivemedical care during her pregnancy. This baby is their third child, and they did not have medicalinsurance after the father lost his job. Worried about how they are going to pay the medical bills, theymet with financial counselors who are assisting them with information and filing paperwork. Becauseboth parents are high-school dropouts, neither reads well and they struggle to understand theirdaughter's diagnosis of TOF.Consisting of four defects, TOF is a congenital cardiac defect that:1. Requires increasing cardiac workload and the efficiency of heart function.2. Allows desaturated blood to enter the systemic system without passing through the lungs.3. Causes shunting from the left side of the heart to the right side with outflow obstruction.4. Increases pulmonary blood flow, allowing shunting of blood and leading to pulmonary hypertension.While the father is with the newborn, the mother is in the emergency department with their little boy.The grandmother watched the boy while his mother and father were at the hospital for his sister's birth.The mother of the newborn told her mother that her son has had a fever and red eyes for 4 days. As ofthis morning, he refuses to open his mouth to eat or drink. With a faint rash and puffy fingers, the littleboy is irritable and refuses to leave his mother's lap. The emergency department physician admits thechild with a diagnosis of a viral illness. The next morning, the boy' hands and feet begin to peel, and theinfectious disease team is consulted. It is determined that he has Kawasaki disease.The clinical course of this disease progresses in three stages. During the acute phase, the child is treatedwith intravenous immunoglobulin and:1. Aspirin to reduce thrombosis formation that may occur within coronary artery aneurysms2. Ibuprofen to reduce inflammation of the vascular system3. Dialysis to remove the toxins resulting from concurrent renal failure4. Plasma infusions to decrease the polycythemia

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Teratology of Fallot(TOF) is a congenital heart disorder caused due to the combination of four…