School participation for children with congenital heart disease (CHD) can be challenging. Despite advances in treatment that have increased survival to adulthood and decreased morbidity, concerns remain about the health and safety of these students in the school environment. This article, the second in a series, discusses recent research on the increased incidence of neurodevelopmental disabilities that can impact academic performance in children with CHD. Exercise and sports participation is also addressed. School nurses are in a unique position to advocate for the child’s health needs in the school setting and facilitate communication with the health care team and school personnel.
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