Practice Question
The RN is caring for a 3 month old infant who has an open and soft anterior fontanelle. The RN knows:
Answer Choices:
Correct Answer:
This is an expected finding in this age group.
Rationale:
🟢The anterior fontanelle normally closes between 12–18 months, so open and soft at 3 months is physiologic.
🟢A soft, flat fontanelle indicates normal hydration and intracranial pressure for age.
🟢Monitoring focuses on head circumference trends and neurodevelopment, not premature closure.
🟢Concerning findings would include bulging (↑ICP) or sunken (dehydration) fontanelle, not simply being open.
🟢Provide reassurance and routine surveillance, educating caregivers on reportable changes in tension or behavior.
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This question is from NUR 227 FALL 2025 BXA QUIZ 1 which contains 37 questions.
More Questions from This Exam
A nurse is assessing an 18-month-old child during a well-child visit. The child's parents report that the child is not yet walking independently. The nurse should prioritize which of the following actions?
Answer Choices:
A. Reassure the parents that this is a normal variation of development.
B. Recommend physical therapy to address the delay in ambulation.
C. Instruct the parents to encourage more "tummy time."
D. Conduct a thorough assessment of gross motor skills and developmental history.
When the nurse is assessing a child's pain, which is most important regarding consistency in pain charting?
Answer Choices:
A. Asking the parents about the child's pain tolerance
B. Documenting the child’s pain assessment
C. Using the same tool to assess the child's pain each time
D. Obtaining a pain rating from the child with each assessment
The RN is weighing a patient born at 8 pounds. At the 6 month visit, the patient weighs 12 pounds. The RN knows:
Answer Choices:
A. This is slow weight gain for the child's age.
B. This is rapid weight gain for the child's age.
C. This weight gain is expected at 6 months
D. The child is likely in 99th percentile for weight on the growth curve
The RN is caring for a 3 month old infant who has an open and soft anterior fontanelle. The RN knows:
Answer Choices:
A. The anterior fontanelle should be closed by 3-4 months.
B. This is an emergency finding
C. This finding indicates increased intracranial pressure (ICP)
D. This is an expected finding in this age group.
The RN is assessing developmental milestones in a patient. The RN knows that children should be walking around 12-15 months. What is the corrected age for a 1 year (12 month) old patient who was born at 32 weeks gestation (8 weeks early)?
Answer Choices:
A. The patient is 10 months old corrected age
B. The patient is 12 months old corrected age
C. The patient is 8 months old corrected age
D. The patient is 15 months correct age.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Pediatrics
- Answer Choices: 4