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
A
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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.
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