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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?
Suggested Answer: A
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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.
36 comments · newest first
MA
Mari
10 months ago
I disagree, bulging fontanels are still relevant at 24 months.
MA
Marylou
11 months ago
Wait, dilated scalp veins? That sounds serious!
CA
Cassie
11 months ago
Separated sutures can definitely indicate increased pressure.
DA
Daron
11 months ago
I think bulging fontanels are more common in younger kids.
EL
Ellsworth
11 months ago
Frontal bossing is a classic sign!
TO
Tonette
12 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.
CA
Cassi
12 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.
BA
Barabara
12 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.
JE
Jenelle
1 year 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.
JO
Joseph
1 year 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.
FA
Fabiola
1 year 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.
CE
Celia
1 year 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.
EV
Evelynn
1 year 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.
KA
Kanisha
1 year 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.
AD
Adaline
1 year 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.
SH
Sharita
1 year 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.
JI
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.
PA
Pamella
2 years ago
Haha, I bet the answer is B. Bulging fontanels. What else would you expect from a child with hydrocephalus? Their head's gonna be like a balloon!
ER
Eric
2 years ago
A: Yes, that's true. It's important for the nurse to monitor for all these signs.
AD
Adelle
2 years ago
B: I heard that separated sutures can also be a sign of hydrocephalus.
CO
Cordelia
2 years ago
A: You're right, bulging fontanels are a common sign of hydrocephalus.
RE
Rex
2 years ago
Definitely B. It's a classic sign of hydrocephalus in infants.
WI
Wilbert
2 years ago
Yeah, I agree. It makes sense that the fontanels would bulge with increased pressure in the brain.
DO
Dottie
2 years ago
I think it's B too. Bulging fontanels seem like a common sign of hydrocephalus.
GO
Goldie
2 years ago
Hmm, I'm torn between B and C. Separated sutures could also be a sign, but I think the bulging fontanels are the most obvious giveaway.
JU
Julio
2 years ago
I think dilated scalp veins could be another sign to look out for.
RA
Raylene
2 years ago
I believe separated sutures could also be a sign of hydrocephalus.
MO
Mose
2 years ago
Definitely B. Bulging fontanels are a classic sign of hydrocephalus in toddlers. There's no way I'm missing that one!
BR
Brock
2 years ago
Yes, it's important to be vigilant and catch any signs early on.
AN
Annita
2 years ago
I agree, bulging fontanels are a key sign to watch for in toddlers with hydrocephalus.
JO
Johana
2 years ago
D) Dilated scalp veins
JO
Joseph
2 years ago
C) Separated sutures
ST
Stefany
2 years ago
B) Bulging fontanels
OZ
Ozell
2 years ago
A) Frontal bossing
TI
Tiffiny
2 years ago
I agree with Yun, bulging fontanels are a sign of hydrocephalus.
YU
Yun
2 years ago
I think the nurse would find bulging fontanels.