A new mother is worried about a soft spoton the top of her ...

[mcmcdaniel]

A new mother is worried about a soft spoton the top of her newborn infant's head. The nurse informs her that this is a normal physical finding called the anterior fontanel and that it will remain open until
 
  1. 2 to 3 months of age.
  2. 6 to 9 months of age.
  3. 12 to 18 months of age.
  4. approximately 2 years of age.

Question 2

A 7-year-old child presents to the clinic with an exacerbation of asthma symptoms.On physical exam the nurse would expect which of the following findings.(Select all that apply.)
 
  1. Wheezing
  2. Increased tactile fremitus
  3. Decreased vocal resonance
  4. Decreased tactile fremitus
  5. Bronchophony

[meganmoser117]

Answer to Question 1

Answer:3
Rationale: The anterior fontanel is located at the top of the head and is the opening at the intersection of the suture lines. As the infant grows,the suture lines begin to fuse,and the anterior fontanel closes at 12 to 18 months of age.

Answer to Question 2

Answer:1,3,4
Rationale: Wheezing is caused by air passing through mucus or fluids in a narrowed lower airway,which is a condition present in asthma exacerbations. The air trapping in the lungs that occurs in asthma causes a decrease in the sensation of vibrations felt,not an increase in tactile fremitus,which is indicative of pneumonia.Bronchoph ony is an increase in the intensity and clarity of transmitted sounds. This is also indicative of pneumonia but not asthma,which causes a decrease in vocal resonance.

[mcmcdaniel]

Thank you

[meganmoser117]

Happy to help you