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A nurse is performing a newborn assessment and notes depressed fontanels. Which of the following is true regarding depressed fontanels in newborn assessment?

A.

Depressed fontanelles are only seen in premature newborns.

B.

Depressed fontanelles indicate infection.

C.

Depressed fontanelles are a sign of dehydration.

D.

Depressed fontanelles are a normal finding in newborns.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Depressed fontanelles are not exclusive to premature newborns. They can occur in both premature and full-term infants and are not an indicator of prematurity.

 

Choice B rationale

 

Depressed fontanelles do not indicate infection. Infections in newborns typically present with other symptoms such as fever, irritability, and poor feeding.

 

Choice C rationale

 

Depressed fontanelles are a sign of dehydration in newborns. When a newborn is dehydrated, the fontanelles can appear sunken due to the lack of fluid in the body.

 

Choice D rationale

 

Depressed fontanelles are not a normal finding in newborns. Normally, fontanelles should be flat or slightly curved inward. A depressed fontanelle is a clinical sign that requires further evaluation and intervention.

 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

A respiratory rate of 110/min is too high for a newborn and may indicate respiratory distress.

Choice B rationale

A respiratory rate of 100/min is also too high for a newborn and may indicate respiratory distress.

Choice C rationale

A respiratory rate of 24/min is too low for a newborn and may indicate respiratory depression.

Choice D rationale

The normal respiratory rate for a newborn is between 30 to 60 breaths per minute. A rate of 60/min is within this range.

Correct Answer is C

Explanation

Choice A rationale

Applying a 1-2 cm ribbon from outer to inner canthus is incorrect because it increases the risk of contamination and infection by moving from a less clean area to a more clean area.

Choice B rationale

Applying a 2-3 inch ribbon from inner to outer canthus is incorrect because the length of the ribbon is too long and the direction is not recommended for preventing contamination.

Choice C rationale

Applying a 1-2 cm ribbon from inner to outer canthus is correct as it minimizes the risk of contamination by moving from a cleaner area to a less clean area, ensuring proper application of the ointment.

Choice D rationale

Applying a 1-2 inch ribbon to the upper eyelid is incorrect because the upper eyelid is not the recommended site for application, and the length of the ribbon is too long.

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