Question

An infant's hydrocephalus has progressed while waiting for surgery for a ventriculoperitoneal (VP) shunt. Which of...

An infant's hydrocephalus has progressed while waiting for surgery for a ventriculoperitoneal (VP) shunt. Which of the following would the nurse recognize as a late sign of the disorder?

a.) Apnea

b.) Large head size in proportion to the body

c.) Bulging fontanel

d.) Irritability

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Answer #1

C) Bulging fontanel - The signs and symptoms manifested by the infants with HC are the results of increased ICP and resulting injury to the brain. Early manifestations include (a) irritability or restlessness, (b) lethargy, (c) poor feeding, (d) vomiting, and (e) enlarged head. Late signs consist of (a) enlarged bulging fontanel, (b) "sunset eyes," (c) distended scalp veins, (d) high-pitched cry, (e) hypertonicity, and (f) seizures. Early diagnosis and treatment can prevent damage to the brain and achieve adequate neurodevelopmental outcome.

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