While palpating the outer layer of the cranial bones behind and above the ears, the nurse finds a softening of this area and has the sensation of pressing on a table-tennis ball then palpating the area
The nurse knows this finding is indicative of: a. shaken baby syndrome c. craniotabes
b. skull fracture d. crepitus
C
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A Incorrect. The findings of a softening of the cranial bones behind and above the ears is not associated with shaken baby syndrome.
B Incorrect. The findings of a softening of the cranial bones behind and above the ears is not associated with a skull fracture.
C Correct. A softening of the outer layer of cranial bones behind and above the ears combined with a ping-pong ball sensation as the area is pressed in gently with the fingers is indicative of craniotabes, an abnormal finding. Craniotabes is associated with rickets, syphilis, hydrocephaly, or hypervitaminosis.
D Incorrect. The findings of a softening of the cranial bones behind and above the ears is not associated with crepitus (flatulence).
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