The nurse is preparing to admit a 6-month-old infant with increased intracranial pressure (ICP). What clinical manifestations should the nurse expect to observe in this infant? (Select all that apply.)
a. High-pitched cry
b. Poor feeding
c. Setting-sun sign
d. Sunken fontanel
e. Distended scalp veins
f. Decreased head circumference
ANS: A, B, C, E
Clinical manifestations of increased ICP in an infant include a high-pitched cry, poor feeding, setting-sun sign, and distended scalp veins. The infant would have a tense, bulging fontanel and an increased head circumference.
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