Physical examination

Physical examination ( 8 Questions)

A nurse is assessing the fontanelles of an infant. Which finding should the nurse consider normal?


Correct Answer: C

A. Incorrect. Depressed and sunken fontanelles are signs of dehydration and should be evaluated promptly.

B. Incorrect. Flat and firm fontanelles may indicate normal hydration, but slight bulging is considered normal in infants.

C. Correct. Slightly bulging fontanelles can be normal in infants due to crying, coughing, or changes in intracranial pressure. However, severely bulging or depressed fontanelles are concerning and require further evaluation.

D. Incorrect. Pulsating fontanelles are a normal finding and are related to the pulsations of blood flow in the area.




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