A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?

Increased intracranial pressure

Dehydration

Overhydration

These are normal findings

Answer and Explanation

The Correct Answer is D

A. Increased intracranial pressurE. Pulsation and bulging of the fontanel may be signs of

increased intracranial pressure in infants. However, it is important to differentiate between normal fontanel characteristics and abnormal signs of elevated intracranial pressure. In this case, the pulsation and bulging are likely normal responses to crying and changes in intracranial pressure during the newborn period.

B. Dehydration: Dehydration typically presents with sunken fontanels rather than pulsation and bulging. Dehydration is a serious condition that requires prompt assessment and intervention, but it is not indicated by the findings described in the scenario.

C. Overhydration: Overhydration is not typically associated with pulsation and bulging of the fontanel. Overhydration may lead to fluid overload and edema but does not directly affect fontanel characteristics.

D. These are normal findings: Pulsation and brief bulging of the fontanel in response to crying are considered normal findings in newborns. Fontanels allow for the flexibility of the skull bones during childbirth and provide space for brain growth during infancy. Pulsation and bulging may occur temporarily during crying or changes in intracranial pressure and are not necessarily

indicative of pathology.

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Correct Answer is ["B","D"]

Explanation

A. At 12 months, the infant walks independently: Most infants begin walking independently between 12 and 15 months of age, but it's not typically achieved by 12 months.
B. At 7 months, the infant sits alone with some use of hands for support: This is an accurate statement. By around 6 to 8 months, infants develop the ability to sit unsupported, although they may still use their hands for balance.
C. At 9 months, the infant crawls with the abdomen off the floor: Crawling typically begins between 7 and 10 months, but the abdomen may still be close to the floor initially.
D. At 1 month, the infant lifts and turns the head to the side in the prone position: This is an accurate statement. Newborns typically exhibit head control and turning movements when placed on their stomachs (prone position) by around 1 month of age.

E. At 2 months, the infant rolls from supine to prone to back again: Rolling from supine to prone and back may begin around 4 to 6 months, but it's less likely to occur at 2 months.

A. Do nothing: this is a normal condition for toddlers. B. Notify the primary care healthcare provider about the condition. C. Refer the toddler to a physical therapist. D. Explain that the child will need a back brace.

Correct Answer is A

Explanation

A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no

intervention is usually necessary.

B. Notify the primary care healthcare provider about the condition: Lordosis alone is not

typically considered a concerning finding in toddlers unless it is severe or accompanied by other

symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.

C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.

D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.

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A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.

Correct Answer is ["B","D"]

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Correct Answer is A

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