Author Question: Hydrocephalus is suspected in a 4-month-old infant. Which would the nurse expect to assess? A) ... (Read 39 times)

bobthebuilder · **on:** Jun 28, 2018

Hydrocephalus is suspected in a 4-month-old infant. Which would the nurse expect to assess?

A) Sunken fontanels
B) Diminished reflexes
C) Lower extremity spasticity
D) Skull symmetry

Question 2

The nurse is assessing an 11-year-old girl with scoliosis. What would the nurse expect to find? Select all answers that apply.

A) Complaints of severe back pain
B) Asymmetric shoulder elevation
C) Even curve at the waistline
D) Pronounced one-sided hump on bending over
E) Diminished motor function
F) Hyperactive reflexes

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

Answer to Question 1

Ans: C
Hydrocephalus is manifested by spasticity of lower extremities, bulging fontanels, brisk reflexes, and skull asymmetry.

Answer to Question 2

Ans: B, D
Assessment findings associated with scoliosis include asymmetric shoulder elevation, uneven curve at the waistline, rib hump on one side, and a pronounced hump on one side when bending over. Typically, only mild back discomfort is found and balance, motor strength, sensation, and reflexes are normal.