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