During your first assessment, you note that your 27-week gestation patient on day 2 of life has a right flank mass with frank blood noted in the diaper. You do not see any open wounds and the anus...


During your first assessment, you note that your 27-week gestation patient on day 2 of life has a right flank mass with frank blood noted in the diaper. You do not see any open wounds and the anus appears normal. Your patient is NPO and receiving nutrition via TPN and intralipids via a UVC. Arterial blood pressure is monitored via a UAC and indicates hypertension. Phototherapy was started yesterday for a bilirubin level of 6.7 mg/dl. Morning labs show a Hgb of 12.9 gm/dl, Hct of 45%, and PLT count of 34,000. You notify the physician immediately because you suspect


A. Renal vein thrombosis


B. Renal artery thrombosis


C. A Wilms’ tumor


D. Liver injury



Dec 14, 2021
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