When assessing a new born girl with salt wasting congenital adrenal hyperplasia due to 21 hydroxylase deficiency, the nurse noted that the infant has an enlarged clitoris. which intention should the nurse implement? A. Explain the mother that the finding is due to increase androgen. B. Assess for sign of fluid retention and bilateral pedal edema. C. Review transcutaneous bilirubin level with a bilirubinometer. D. Observe and palpate newborn's breast tissue for enlargement..