The nurse who is working on a pediatric unit receives a shift report for four neonates with congenital heart defects. The neonate with which report requires the most immediate intervention?

Ventricular septal defect (VSD) has audible murmurs.

Patent ductus arteriosus is fatigued after feeding

Coarctation of aorta has an elevated blood pressure in the upper extremity.

Tetralogy of Fallot (TOF) with hypercyanotic (Tet) spells is crying.