To detect intraventricular hemorrhage in the preterm infant, the nursing care plan should include:
a. Monitoring respiratory rate and effort
b. Observing for sunken fontanelles
c. Observing for seizure activity
d. Monitoring body temperature
ANS: C
Signs of increasing intracranial pressure, which occurs with intracranial bleeding, include bulging fontanelles, seizure activity, and increasing blood pressure.
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