When examining a child with congenital heart disease, an organ in the upper right quadrant of the abdomen can be palpated at 4 cm below the rib cage. what would most likely explain this assessment finding

The size of liver increases in right-sided heart failure.

Explanation:

Hepatomegaly is known as the medical condition in which the size of liver increases. The liver enlargement can occur in different disease like tumors and excessive use of alcohol.

A child has congenital heart disease and the organ of  upper right quadrant is palpated at 4 cm below the rib cage. This assessment indicates that the child of the liver has increased in the right side heart failure.

d, i believe because of it's activity level