During an assessment of a newborn, the nurse palpates the fontanels to determine their status. Which finding would be expected when assessing the fontanels?
The fontanels should be sunken and flat
The fontanels should be soft and flat
The fontanels should be tense and bulging
The fontanels should be hard and immobile
The Correct Answer is B
Rationale:
A. Sunken fontanels may indicate dehydration and are not a normal finding.
B. Soft and flat fontanels are expected in a healthy newborn, indicating normal intracranial pressure and hydration status.
C. Tense and bulging fontanels can be a sign of increased intracranial pressure or infection such as meningitis.
D. Hard and immobile fontanels are abnormal and may suggest underlying pathology such as craniosynostosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Being calm and able to speak indicates relief of respiratory distress, improved air movement, and adequate oxygenation, signs of improvement.
B. A downward trend in oxygen saturation would indicate worsening of the condition.
C. An increasing respiratory rate signals ongoing or worsening respiratory distress.
D. Frequently changing positions suggests the patient is still trying to compensate for difficulty breathing, not improvement.
Correct Answer is D
Explanation
Rationale:
A. Antidiarrheal medications are generally not recommended for young children, as they can cause serious side effects and do not treat the underlying cause.
B. The BRAT diet is outdated and lacks essential nutrients; current guidelines support a normal, age-appropriate diet once rehydration is initiated.
C. Keeping a child NPO can worsen dehydration and delay recovery; early oral intake is encouraged.
D. Oral rehydration is the preferred and evidence-based method for treating mild to moderate dehydration due to acute diarrhea in children. It is safe, effective, and well-tolerated.
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