A nurse is assessing an infant in the cardiology clinic. Which of the following sets of clinical manifestations is consistent with a large ventricular septal defect?

Murmur, tachypnea, and fatigue with feeds

Bradypnea, murmur, and fatigue with feeds

Murmur, excessive weight gain, and tachypnea

Bradypnea, excessive weight gain, and fatigue with feeds