A nurse is preparing to collect data from a 1-month-old infant.
Which of the following locations should the nurse palpate to find the anterior fontanel?
Top of the head near the hairline.
Middle of the forehead.
Intersection of the parietal and frontal bones.
Behind the soft spot on the back of the head.
The Correct Answer is C
Choice A rationale
The top of the head near the hairline is associated with the anterior cranial region but does not correspond to the anatomical location of the anterior fontanel. This region contains other bones and is not indicative of the fontanel's position.
Choice B rationale
The middle of the forehead lies superficial to the frontal bone. It is not a marker of the anterior fontanel's position. The fontanel requires palpation of the intersecting cranial bones to locate its true anatomical site.
Choice C rationale
The anterior fontanel is located at the intersection of the frontal and parietal bones, a diamond-shaped membranous area. This area allows for skull flexibility during birth and accommodates brain growth in infants. Palpation of this junction identifies the anterior fontanel accurately.
Choice D rationale
The posterior aspect of the skull features the occipital bone and the posterior fontanel, which is smaller and triangular. This location does not correspond to the anterior fontanel, and palpating this area would not achieve the desired assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A low carbohydrate, high-fat diet is not suitable for toddlers with cystic fibrosis. This condition requires meeting increased metabolic demands, making carbohydrate restriction detrimental to energy balance.
Choice B rationale
High-protein, high-calorie diets are ideal for toddlers with cystic fibrosis due to their higher basal metabolic rate and nutrient malabsorption. These diets support growth and immune function despite the disease.
Choice C rationale
Moderate protein, low-calorie diets are inappropriate for cystic fibrosis management. Insufficient caloric intake exacerbates malnutrition and can lead to failure to thrive in affected children.
Choice D rationale
High-fat, low-protein diets neglect the importance of balanced nutrition required for growth. While fat content is important, adequate protein intake is equally crucial for muscle development. .
Correct Answer is B
Explanation
Choice A rationale
Explaining the procedure a week prior is not ideal for school-aged children. At this developmental stage, attention spans are limited, and providing information too early can result in anxiety or forgetfulness. Preparing children 1 to 2 days prior is more effective to ensure comprehension and reduce anticipatory stress.
Choice B rationale
Using simple diagrams and photographs aligns with the cognitive development of school-aged children, who benefit from visual aids. This approach promotes understanding by bridging abstract concepts with concrete visual representations, thus reducing fear and uncertainty about the procedure.
Choice C rationale
Spending 45 minutes explaining the procedure exceeds the attention span of school-aged children. Such prolonged sessions may overwhelm or disengage them. Instead, concise and focused explanations are recommended to match their developmental needs and learning capacity.
Choice D rationale
Discussing long-term consequences may not be suitable for a child’s developmental stage. This information can induce unnecessary fear, as school-aged children typically focus on immediate rather than long-term outcomes. Tailoring the explanation to their level is essential for effective communication.
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