A 5-month-old infant Baby Raksha Takur admitted to the Hospital with a temperature of 103.8°F and irritability. Her mother states that the child has been restless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
A. Edema
B. Reflexes
C. Tenseness of the anterior fontanel
D. Negative scarf sign
Answer:C
A 5-month-old infant Baby Raksha Takur admitted to the Hospital with a temperature of 103.8°F and irritability. Her mother states that the child has been restless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
A. Edema B. Reflexes C. Tenseness of the anterior fontanel D. Negative scarf sign