NCLEX® QUESTION OF THE WEEK

Question of the Week – December 8, 2021

On assessment of a newborn being admitted to the nursery, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse determines that this finding indicates which condition?

Show Answer Answer
Correct! The answer is number 2

Rationale:

The anterior fontanel is normally 2 to 3 cm in width, 3 to 4 cm in length, and diamond-like in shape. It can be described as soft, which is normal, or full and bulging, which could indicate increased intracranial pressure. Conversely a depressed fontanel could mean that the infant is dehydrated. The condition of the anterior fontanel is not generally influenced by a postterm delivery.

Additional info:

Level of Cognitive Ability: Analyzing

Client Needs: Physiological Integrity

Clinical Judgment/Cognitive Skills: Analyze cues

Integrated Process: Nursing Process/Assessment

Content Area: Maternity: Newborn

Health Codes: N/A

Priority Concepts: Clinical Judgment; Development

Practice Question Sourced From: Saunders Q&A Review for the NCLEX-RN® Examination, 8th Edition

Evolve Resources for Saunders Q & A Review for the NCLEX-RN® Examination, 8th Edition
previous page previous page previous
Page 92 of 104
next next page next page

NCLEX® Prep

Learn More

Student Blog

Learn More