What clinical manifestations suggest hydrocephalus in an infant?
a. Closed fontanel and high-pitched cry
b. Bulging fontanel and dilated scalp veins
c. Constant low-pitched cry and restlessness
d. Depressed fontanel and decreased blood pressure
ANS: B
Bulging fontanels, dilated scalp veins, and separated sutures are clinical manifestations of hydrocephalus in neonates. A closed fontanel, high-pitched cry, constant low-pitched cry, restlessness, a depressed fontanel, and decreased blood pressure are not clinical manifestations of hydrocephalus, but all should be referred for evaluation.
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