A toddler with Tetralogy of Fallot becomes cyanotic and dyspneic during a crying spell (tet spell). What is the best immediate action?

Question

Accepted Answer

A. Place the child in the knee-chest position — Knee-chest positioning increases systemic vascular resistance and helps reduce right-to-left shunting during a tet spell, improving oxygenation.

Answer

B. Offer a high-fiber snack

Answer

C. Lay the child flat on the back

Answer

D. Encourage the child to run to distract from crying