The nurse is performing an assessment of a 7 month old. Which of the following findings may be unexpected?

1. The anterior fontanelle is closed.
2. The posterior fontanelle is closed.
3. The head is disproportionately large in comparison to the body.
4. There are two "baby teeth" present.


1
Rationale 1: The anterior fontanelle usually closes when the infant is between 9 and 18 months of age. It is an unexpected finding to determine the infant's anterior fontanelle is already closed at the age of 7 months.
Rationale 2: The posterior fontanelle usually closes by the age of 2 months.
Rationale 3: The head remains disproportionately large in comparison to the body until approximately 5 years of age.
Rationale 4: The child should have at least one tooth present in the mouth by 15 months of age.

Nursing

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