GROWTH DEVELOPMENT CHILD
GROWTH AND DEVELOPMENT
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Increase oral fluids
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Document the finding
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Notify the pediatrician
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Elevate the head of the bed to 90 degrees.
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Detailed explanation-1: -The anterior fontanelle will normally stay palpable and open, sometimes up to 12 to 18 months of age. So the fontanelle will normally be flat and it can be pulsatile, so you can actually see some pulsations in the normal fontanelle. It shouldn’t be sunken.
Detailed explanation-2: -Nursing Interventions If a patient is suspected of having increased ICP, immediate interventions should include securing the airway, maintaining adequate oxygenation and ventilation, and providing circulatory support as needed.
Detailed explanation-3: -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.
Detailed explanation-4: -An irregular breathing pattern, also known as periodic breathing, is a normal finding in some newborns. However, if periodic breathing is associated with nasal flaring, grunting, retractions, cyanosis, or decreased rate, further assessment and intervention may be required.