A nurse is teaching a caregiver about their child's newly diagnosed ventricular septal defect (VSD). Which of the following statements would the nurse include in her teaching? Select all that apply. The child will likely need a heart transplant before adolescence. VSDs are mostly asymptomatic. It is one of the rarest congenital heart defects. Oxygenation status is not affected. It causes left-to-right shunting of blood.