In addition to a mass, the child with Wilms tumor may also ...

[fagboi]

In addition to a mass, the child with Wilms tumor may also exhibit which assessment finding? (select all that apply)
 
  a. Abdominal pain
  b. Enuresis
  c. Hematuria
  d. Weight gain
  e. Fever

Question 2

A 6-year-old male diagnosed with vesicoureteral reflux is experiencing urine reflux from the uri-nary bladder into a grossly dilated ureter and calyces. This condition would be graded:
 
  a. I.
  b. II.
  c. III.
  d. IV.

[durant1234]

Answer to Question 1

ANS: A, C, E
In addition to an abdominal mass, other presenting complaints include vague abdominal pain, hematuria, and fever. Enuresis and weight gain do not occur.

Answer to Question 2

ANS: D
The patient has symptoms of grade IV reflux. Grade I involves a nondilated ureter.
Grade II does not involve dilation. Grade III does not involve gross dilation.