Author Question: In a class for new parents, what information should the nurse include about the fontanelles in the ... (Read 63 times)

ishan

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In a class for new parents, what information should the nurse include about the fontanelles in the newborn infant?
 
  A. There are three fontanelles, or soft spots,' on the infant's head.
  B. Notify the physician if you notice bulging of the fontanelle when the infant cries.
  C. Avoid touching the skin over the fontanelles because the infant's brain could be damaged.
  D. The posterior fontanelle closes in 2 to 3 months; the anterior fontanelle in about 18 months.

Question 2

Tissue ischemia and nerve damage are serious complications that may result from immobilization in a cast or from traction. The five Ps of vascular impairment can be used as a guide when assessing for neurovascular problems. List the five Ps.
 
  What will be an ideal response?



missalyssa26

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Answer to Question 1

D
There are two fontanelles. The posterior fontanelle closes by 2 to 3 months of age, and the anterior fontanelle closes by about 18 months. Fontanelles are covered by a tough membrane and can be touched and washed. It is normal for the anterior fontanelle to bulge when the infant cries, but it should relax when the infant is calm.

Answer to Question 2

pain, pallor, pulselessness, paresthesia, paralysis
Prompt referral to a physician and intervention is crucial if neurovascular impairment is to
be prevented.



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