CCRN Critical Care Nursing

Category - Pediatrics

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A clinical manifestation that a nurse would expect to observe during an assessment of a 4-week-old infant admitted to the unit with hydrocephalus is:

anterior fontanel is tense upon palpation.
head circumference is larger than that of his chest.
Poor muscle and or eye coordination
unable to support his head while in a prone position.

Explanation

Answer: A - This is a sign of increased intracranial pressure; which is caused by the fluid accumulation associated with hydrocephalus.

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