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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