A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

Question

Quizplus · Accepted Answer

In infants with hydrocephalus, the head at an abnormal rate, and the first sign of the disorder may be bulging fontanels without head enlargement. A bulging, tense, and nonpulsatile anterior fontanel indicates an increase in cerebrospinal fluid collection in the cerebral ventricle. A method of assessing fluid collection in the cranial cavity is to palpate the anterior fontanel.

A Nurse Is Performing an Admission Assessment on 6-Month-Old Infant