OMSB_OEN Exam - Topic 5 Question 2 Discussion

Actual exam question for OMSB's OMSB_OEN exam

Question #: 2
Topic #: 5

[All OMSB_OEN Questions]

A nurse is examining a 24-month-old child with hydrocephalus for the development of later signs of hydrocephalus.

Which of the following signs the nurse would find?

AFrontal bossing

BBulging fontanels

CSeparated sutures

DDilated scalp veins

Show Suggested Answer

Suggested Answer: A

In a 24-month-old child with hydrocephalus, later signs of the condition include frontal bossing, which is the prominent, protruding forehead caused by the enlargement of the frontal bone. This is a characteristic feature of chronic hydrocephalus. Bulging fontanels, separated sutures, and dilated scalp veins are typically earlier signs of hydrocephalus seen in younger infants before the cranial sutures close. As the child ages, frontal bossing becomes more apparent due to prolonged intracranial pressure.

by Joye at Jun 22, 2024, 03:51 PM

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Mari

3 months ago

I disagree, bulging fontanels are still relevant at 24 months.

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Marylou

3 months ago

Wait, dilated scalp veins? That sounds serious!

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Cassie

3 months ago

Separated sutures can definitely indicate increased pressure.

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Daron

4 months ago

I think bulging fontanels are more common in younger kids.

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Ellsworth

4 months ago

Frontal bossing is a classic sign!

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Tonette

4 months ago

I feel like all these signs could be relevant, but I remember that separated sutures are definitely associated with chronic hydrocephalus in toddlers.

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Cassi

4 months ago

I practiced a question similar to this, and I think dilated scalp veins were mentioned as a sign, but I can't recall if they are specific to later stages.

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Barabara

4 months ago

I think bulging fontanels are more typical in younger infants, so I’m leaning towards separated sutures as a later sign for a 24-month-old.

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Jenelle

5 months ago

I remember studying that frontal bossing is a common sign in children with hydrocephalus, but I’m not sure if it’s considered a later sign.

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Joseph

5 months ago

I think the key is to focus on the physical signs of increased intracranial pressure. Bulging fontanels and separated sutures seem like the most likely answers here. I'll double-check my understanding, but I feel good about this.

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Fabiola

5 months ago

Okay, I've got this. The key signs of hydrocephalus in a toddler are bulging fontanels, separated sutures, and possibly dilated scalp veins. I'm pretty confident that's the right answer.

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Celia

5 months ago

Hmm, I'm a bit unsure about this one. I know hydrocephalus causes increased intracranial pressure, but I can't quite remember all the specific physical exam findings. I'll have to think this through carefully.

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Evelynn

5 months ago

This seems like a straightforward question about the signs of hydrocephalus in a young child. I'll focus on recalling the key physical signs to look for.

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Kanisha

5 months ago

Wait, isn't frontal bossing also a sign of hydrocephalus? I'm a little confused now - I'll have to review my notes to make sure I have all the possible exam findings straight.

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Adaline

5 months ago

Hmm, I'm a bit confused by the wording here. I need to make sure I understand the difference between the strategic, operational, validated, and tactical teams and their roles. Let me re-read the question carefully.

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Sharita

5 months ago

Okay, I've got an idea on this one. Since the question is asking about the BA's approach to structuring the requirements, I'm thinking the user interactions viewpoint might be the best fit. That would allow the BA to focus on how the customer interacts with the system and ensure those requirements are captured.

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Jimmie

2 years ago

Gotta be B, baby! Bulging fontanels are the way to go. Although, I must admit, I'm a little tempted by the dilated scalp veins. That sounds like a fun party trick.

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