Problem: Current Height 60 cm (less than 5th percentile); Weight 6 kg (5th percentile) Diagnostics: CXR - moderate cardiomegaly with mildly to moderately increased pulmonary vascularity Doppler/Echo - Large VSD (with slightly slipped PA band), elevated RV and PA pressures Looking at the most current heart exam/tests, what primary medical complication is beginning? What other nursing assessments would you want to complete and what findings would you expect?