Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
An infant following a motor vehicle crashA nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?
Correct answer
C
Rationale
The correct answer is C: Increased sleeping. Increased intracranial pressure can lead to drowsiness or increased sleeping in infants. This is due to the pressure exerted on the brain affecting normal sleep-wake cycles. Monitoring sleeping patterns can help identify changes in the infant's neurological status. Brisk pupillary reaction to light (choice A) is a normal finding and not specific to increased intracranial pressure. Tachycardia (choice B) may indicate stress or pain but is not a direct indicator of intracranial pressure. Depressed fontanelles (choice D) may suggest dehydration but not necessarily increased intracranial pressure.