Final answer:
A nurse reviewing a child's history before repairing a ventricular septal defect would expect high blood pressure in the arms and low blood pressure in the legs, along with symptoms like severe cyanosis and clubbing of fingers and toes.
Explanation:
High blood pressure in the arms and low blood pressure in the legs would be expected by a nurse reviewing a child's history and physical before repair of a ventricular septal defect. This finding is due to decreased oxygenated blood reaching the lower extremities, resulting in differential blood pressure readings between the arms and legs.
Additionally, a child with a ventricular septal defect may exhibit symptoms such as severe cyanosis, low blood oxygen saturation levels, and clubbing of fingers and toes. These signs indicate inadequate oxygen supply to the body, leading to the characteristic blue or purple skin discoloration associated with cyanosis.
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