While assessing a child the nurse finds hepatomegaly. The nurse ...

[Wadzanai]

While assessing a child the nurse finds hepatomegaly. The nurse is aware that this condition is most associated with which of the following?
 
  a. congestive heart failure c. maternal alcoholism
  b. congenital heart defects d. prematurity

Question 2

A mother seems concerned as she asks why her infant is walking sideways while holding onto furniture. The best response by the nurse is:
 
  a. You need to get a neurological consultation for your baby, to rule out some pathology.
  b. If you hold the baby's hands while the baby walks, you can break the baby of this habit.
  c. Infants start walking sideways while holding onto furniture before they walk or stand alone.
  d. You need to make an appointment with your pediatrician and have this problem checked out.

[tsternbergh47]

Answer to Question 1

A

Feedback
A Correct. Hepatomegaly is most often associated with congestive heart failure. Inadequate emptying of the heart caused by volume overload or poor contractility results in cardiac failure. This generates an increase in venous volume with a subsequent increase in venous congestion. Systemic venous congestion results in liver engorgement and hepatomegaly.
B Incorrect. Hepatomegaly is not associated with congenital heart defects.
C Incorrect. Hepatomegaly is not associated with maternal alcoholism.
D Incorrect. Hepatomegaly is not associated with prematurity.

Answer to Question 2

C

Feedback
A Incorrect. This is natural, and is not pathology.
B Incorrect. There is no need to break the habit, this is perfectly natural.
C Correct. Infants start walking sideways while holding onto furniture before they walk or stand alone.
D Incorrect. This is natural, and does not require a visit to the pediatrician.