The nurse is preparing to admit a 6-month-old infant with increased intracranial pressure (ICP). What clinical manifestations should the nurse expect to observe in this infant? (Select all that apply.)
A) High-pitched cry
B) Poor feeding
C) Setting-sun sign
D) Sunken fontanel
E) Distended scalp veins
F) Decreased head circumference

Question

Quizplus · Accepted Answer

Clinical manifestations of increased ICP in an infant include a high-pitched cry, poor feeding, setting-sun sign, and distended scalp veins. The infant would have a tense, bulging fontanel and an increased head circumference.

The Nurse Is Preparing to Admit a 6-Month-Old Infant with Increased