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Normal Variations and Abnormal Findings
Normal Variations and Abnormal Findings ( 5 Questions)
A nurse is assessing a newborn’s fontanelles.
Which of the following findings should the nurse report to the provider?
The anterior fontanelle is normally diamond-shaped and 2 cm wide.
The posterior fontanelle is normally triangular and 0.5 cm wide.
This is an abnormal finding that should be reported to the provider as it may indicate increased intracranial pressure or intracranial and extracranial tumors.
The posterior fontanelle normally closes by 8 weeksand may not be palpable at six weeks.
The anterior fontanelle is bulging and tense when the newborn cries. This is an abnormal finding that should be reported to the provider as it may indicate increased intracranial pressure or intracranial and extracranial tumors.
Choice A is wrong because the anterior fontanelle is normally diamond-shaped and 2 cm wide.
Choice B is wrong because the posterior fontanelle is normally triangular and 0.5 cm wide.
Choice D is wrong because the posterior fontanelle normally closes by 8 weeks and may not be palpable at six weeks.