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.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Soft and flat fontanels are normal in healthy infants. In hydrocephalus, increased intracranial pressure causes bulging fontanels due to excess cerebrospinal fluid accumulation.

Choice B rationale: Proteinuria is a renal finding and not associated with hydrocephalus. Hydrocephalus affects the central nervous system, not kidney filtration or protein excretion.

Choice C rationale: Dilated scalp veins occur due to elevated intracranial pressure from cerebrospinal fluid buildup. Venous distension is a visible sign in infants with hydrocephalus.

Choice D rationale: Hypertension is not a typical sign of hydrocephalus in infants. The condition primarily presents with neurological and cranial changes, not systemic blood pressure elevation.

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Correct Answer is C

Explanation

Choice A rationale

While facial paralysis is a serious condition, it is not typically associated with a cleft palate.

Choice B rationale

Ear infections are a common complication of a cleft palate, but they are not typically a sign of an immediate, serious problem.

Choice C rationale

Increased intracranial pressure is not a common complication of a cleft palate, but it is a serious condition that requires immediate medical attention.

Choice D rationale

Drooling is common in children with a cleft palate and is not typically a sign of a serious problem.

A. “I will adjust the harness straps every day.”. B. “I will check my baby’s skin three times each day.”. C. “I will gently massage lotion on his skin around the harness clasps.”. D. “I will place the diaper over the harness.”.

Correct Answer is B

Explanation

Choice A rationale

Adjusting the harness straps every day is not recommended. The straps should be adjusted only as directed by the healthcare provider or orthopedic specialist to ensure proper positioning and effectiveness of the Pavlik harness.

Choice B rationale

This is the correct answer. Checking the baby’s skin three times a day is important to prevent skin irritation or breakdown under the harness.

Choice C rationale

Massaging lotion on the skin around the harness clasps is not recommended as it can cause skin irritation.

Choice D rationale

The diaper should be placed under the harness to prevent soiling and maintain the effectiveness of the harness.

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A nurse is collecting data from an infant who has hydrocephalus. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating parents of a child with a cleft palate.What should the nurse instruct the parents to report immediately?

Correct Answer is C

Explanation

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Correct Answer is B

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A nurse is collecting data from an infant who has hydrocephalus.
Which of the following findings should the nurse expect?