Fontanelles

Fontanelles ( 5 Questions)

A nurse is measuring the head circumference of a 6-month-old infant.

The nurse notes that the anterior fontanel is 4 cm in size and the posterior fontanel is closed.

How should the nurse interpret these findings?



Correct Answer: B

The anterior fontanel is normal and the posterior fontanel is normal.

According to , the average size of the anterior fontanel is 2.1 cm, and the median time of closure is 13.8 months. The posterior fontanel generally closes 2 to 3 months after birth.

Therefore, a 6-month-old infant with an anterior fontanel of 4 cm and a closed posterior fontanel is within the normal range.

Choice A is wrong because the posterior fontanel is not delayed in closing. It usually closes by 3 months of age.

Choice C is wrong because the anterior fontanel is not enlarged. It can range from 0.6 cm to 3.6 cm with a mean of 2.1 cm.

Choice D is wrong because both the anterior and posterior fontanels are normal, not enlarged or delayed in closing.

Normal ranges for head circumference of a 6-month-old infant are 39.59 to 44.34 cm for girls and 40.89 to 45.34 cm for boys, according to the CDC.




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