A nurse is teaching a class of nursing students about the ...

[jon_i]

A nurse is teaching a class of nursing students about the anterior and posterior fontanels. What information should the nurse include? (Select all that apply.)
 
  A.
  Anterior fontanels are usually larger than the posterior fontanels.
  B.
  Bulging, tense fontanels can indicate increased intracranial pressure.
  C.
  Fontanel presence allows for cranial molding during the birthing process.
  D.
  Normal measurements for the anterior fontanel range from 0.4-2.8 in (1-7 cm).
  E.
  The posterior fontanel needs to remain open for the baby's first year of life.

Question 2

A birthing unit has a new manager who plans to implement policies to facilitate family bonding after birth. Which of the following possible policies would be most helpful?
 
  (Select all that apply.)
  A.
  Allow 3-4 hours of uninterrupted family time after birth.
  B.
  Delay noncritical procedures during the initial family time.
  C.
  Encourage and support breastfeeding practices.
  D.
  Have a designated discharge teaching nurse visit the family.
  E.
  Initiate primary nursing to provide continuity of care.

[smrtceo]

Answer to Question 1

ANS: B, C, D
Infants have an anterior fontanel and a posterior fontanel. The anterior fontanel ranges in size from 0.4-2.8 in and is larger than the posterior fontanel, which is about 0.4 in (1 cm). Fontanels should feel full without bulging; bulging fontanels with a large head size can indicate increased intracranial pressure, often from hydrocephalus. The anterior fontanel needs to stay open for the first year of life to accommodate skull bone expansion.

Answer to Question 2

ANS: A, B, C, E
Nursing units can be designed with policies that promote family bonding. Some activities that promote attachment include providing time in the first few hours after birth for privacy and time for the new family to get to know each other; delaying noncritical actions during the first few hours of life; teaching, encouraging, and supporting breastfeeding; and providing continuity of care through models of nursing such as primary care. Having a designated discharge teaching nurse will facilitate consistent teaching but is not as important in promoting attachment and bonding.

[jon_i]

Thank you

[smrtceo]

No problemo