Author Question: A new mother is worried about a soft spot on the top of her newborn infant's head. The nurse informs ... (Read 89 times)

magmichele12 · **on:** Jun 28, 2018

A new mother is worried about a soft spot on the top of her newborn infant's head. The nurse informs her that this is a normal physical finding called the anterior fontanel.

The mother understands further teaching when she states that It will close on its own when my infant is: 1. 23 months of age.

2. 69 months of age.

3. 1218 months of age.

4. 1924 months of age.

Question 2

The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the casted foot. The nurse's initial action is to:

1. Call the physician to report increasing pain.
2. Administer pain medication.
3. Reposition the child in bed.
4. Check to see if the cast is too tight.

Yixagurpuldink · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3

Rationale:

1. If the infant's fontanel closed at 23 months of age, the infant's head size would be too small to accommodate the growing infant's brain.
2. The infant's head would be unable to accommodate the growing infant's brain if the fontanel closed at 69 months of age.
3. 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 about 1218 months of age.
4. The infant's fontanel closes before 1924 months of age, at 1218 months.

Answer to Question 2

4
Rationale:
1. The nurse needs to assess the foot prior to calling the physician.
2. The nurse needs to assess the foot prior to administering pain medication.
3. The nurse should not reposition the child until the foot is assessed.
4. The nurse's initial action is to assess for external factors that might be causing pain.