The nurse observes an infant for signs of increased intracranial pressure, which include
a. a catlike cry, depressed anterior fontanel, lethargy
b. a nonpalpable posterior fontanel, overriding suture lines, poor feeding
c. a decreased level of consciousness, hypo-thermia, tachycardia
d. an increasing head circumference, widening sutures, irritability
D
An increasing head circumference, widening sutures, and irritability are manifestations of increased intracranial pressure. Other manifestations of increased intracranial pressure include lethargy, poor feeding, poor sucking, spasms of the head and feet, setting sun sign, decreased level of consciousness, high-pitched shrill cry, and bulging anterior fontanel.
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