The nurse palpated the anterior fontanel of a 14-month-old infant ...

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The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed. What would this finding indicate?
 
  a. This is a normal finding.
  b. This finding indicates premature closure of cranial sutures.
  c. This is an abnormal finding and the child should have a developmental evaluation.
  d. This is an abnormal finding and the child should have a neurological evaluation.

Question 2

The nurse inspecting the skin of a dark-skinned child notices an area that is a dusky red or violet color. This skin coloration is associated with which?
 
  a. Cyanosis
  b. Erythema
  c. Vitiligo
  d. Nevi

[fraziera112]

Answer to Question 1

A
The anterior fontanel should be completely closed by 12 to 18 months of age. A closed anterior fontanel at 14 months of age does not indicate premature closure of cranial sutures, is not abnormal, and does not indicate the need for a neurological examination.

Answer to Question 2

B
In dark-skinned children, erythema appears as dusky red or violet skin coloration. Cyanosis in a dark-skinned child would appear as a black coloration of the skin. Vitiligo refers to areas of depigmentation. Nevi are areas of increased pigmentation.

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Excellent

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