A nurse is collecting data from an infant who has hydrocephalus.
Which of the following findings should the nurse expect?
Soft and flat fontanels.
Proteinuria.
Dilated scalp veins.
Hypertension.
The Correct Answer is A
Choice A rationale
A bulging fontanel is a common sign of hydrocephalus in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is an excess of cerebrospinal fluid, as in hydrocephalus, it can cause the fontanels to bulge outwards.
Choice B rationale
Proteinuria, or excess protein in the urine, is not typically associated with hydrocephalus. It is more commonly seen in kidney diseases.
Choice C rationale
Dilated scalp veins may be seen in hydrocephalus due to increased pressure, but it is not as common or as early a sign as a bulging fontanel.
Choice D rationale
Hypertension is not typically associated with hydrocephalus in infants. While hydrocephalus can cause increased intracranial pressure, it does not typically cause systemic hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
Calculating the safe dosage is a crucial step in administering medication to a toddler. This ensures that the child receives the appropriate amount of medication based on their weight and age.
Choice B rationale
Identifying the toddler by asking the caregiver is an important step to ensure that the correct medication is given to the correct child.
Choice C rationale
Telling the caregiver to administer the medication is not recommended. As a nurse, it is your responsibility to administer the medication to ensure it is done correctly.
Choice D rationale
Offering juice after the medication can help mask any unpleasant taste and make the medication administration process more tolerable for the toddler.
Choice E rationale
Asking the toddler to pick a toy to hold during administration can serve as a distraction and make the process less stressful for the child.
Correct Answer is B
Explanation
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
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