At what age should the nurse expect the anterior fontanel to ...

[Frost2351]

At what age should the nurse expect the anterior fontanel to close?
 
  a. 2 months
  b. 2 to 4 months
  c. 6 to 8 months
  d. 12 to 18 months

Question 2

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is a(n):
 
  a. normal finding.
  b. abnormal finding, so child needs referral to ophthalmologist.
  c. sign of possible visual defect, so child needs vision screening.
  d. sign of small hemorrhages, which will usually resolve spontaneously.

[k.lashomb]

Answer to Question 1

ANS: D
The anterior fontanel normally closes between ages 12 and 18 months. Two to 8 months is too early. The expected closure of the anterior fontanel occurs between ages 12 and 18 months; if it closes between ages 2 and 8 months, the child should be referred for further evaluation.

Answer to Question 2

ANS: A
A brilliant, uniform red reflex is an important normal finding. It rules out many serious defects of the cornea, aqueous chamber, lens, and vitreous chamber.

[Frost2351]

Excellent

[peter]

TYSM