Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A neonate was admitted at the hospital due to hydrocephalus. After the insertion of a shunt to treat the disease, the nurse should evaluate the function of the shunt by:
  1. Palpation of the anterior fontanel
  2. Notation of the frequency of voiding
  3. Assessment of periorbital edema
  4. Observation of symmetric Moro reflex
Explanation
Answer - A - After the insertion of a shunt to treat the disease, the nurse should evaluate the function of the shunt by palpation of the anterior fontanel. A bulging fontanel will be an indication of increased intracranial pressure. Other options are not significant indicators of increased intracranial pressure.
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