The nurse palpated the anterior fontanel of a 14-month-old infant and found that it was closed. What would this finding indicate?
a. This is a normal finding.
b. This finding indicates premature closure of cranial sutures.
c. This is an abnormal finding and the child should have a developmental evaluation.
d. This is an abnormal finding and the child should have a neurological evaluation.
A
The anterior fontanel should be completely closed by 12 to 18 months of age. A closed anterior fontanel at 14 months of age does not indicate premature closure of cranial sutures, is not abnormal, and does not indicate the need for a neurological examination.
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