What notable sign most likely indicates increased intracranial pressure in an infant?

High-pitched cry.

Decreased lower extremity movement.

Excessive wet diapers.

Bulging fontanel when crying.

Answer and Explanation

The Correct Answer is D

Choice A reason: While a high-pitched cry can be a sign of distress, it is not a specific indicator of increased intracranial pressure.
Choice B reason: Decreased movement in the lower extremities can indicate a neurological issue but is not a specific sign of increased intracranial pressure.
Choice C reason: Excessive wet diapers are not related to intracranial pressure.
Choice D reason: This is the correct choice. A bulging fontanel, especially when crying, can indicate increased intracranial pressure in an infant. It is important to monitor for other signs and symptoms as well.

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Correct Answer is D

Explanation

Choice A reason: Pulselessness is not a sign of normal AV fistula function; a palpable pulse should be present.
Choice B reason: An ecchymotic area suggests bruising and is not indicative of normal function.
Choice C reason: Redness may indicate inflammation or infection, not normal function.
Choice D reason: This is the correct choice. An enlarged vein is typical for an AV fistula and indicates good blood flow through the fistula.

A. Allowing parents to hold, touch, and rock the infant without time limits. B. Interviewing parents to determine the cause of the incident. C. Providing mementos such as footprints and blankets. D. Advising parents that an autopsy is not necessary and may worsen the grief process.

Correct Answer is A

Explanation

Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.

Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.

Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.

Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.

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What notable sign most likely indicates increased intracranial pressure in an infant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

Correct Answer is D

Explanation

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

Correct Answer is A

Explanation

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