1-year-old child comes to well-baby clinic and nurse noticed the child’s anterior fontanel is still open. What is the appropriate nursing intervention? 1-year-old child comes to well-baby clinic and nurse noticed the child’s anterior fontanel is still open. What is the appropriate nursing intervention?mcq  given below:


Q. 1-year-old child comes to well-baby clinic and nurse noticed the child’s anterior fontanel is still open. What is the appropriate nursing intervention?

(a) Report to doctor
(b) Normal findings
(c) Measure head circumference
(d) Look for sign and symptoms of infection

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👶 Anterior Fontanel in a 1-Year-Old Child

Let’s understand this in a very simple way.


What is anterior fontanel?
It is the soft spot on the top of a baby’s head.

👉 It allows the brain to grow and the skull bones to expand.


When does it normally close?
The anterior fontanel usually closes between:

  • 12 to 18 months of age

👉 So at 1 year (12 months), it can still be open.


What should the nurse do?

Correct Answer: (b) Normal findings


Why is it normal?
At 1 year of age, an open anterior fontanel is still within normal range.

👉 No immediate action is required.


Why other options are not correct?

  • (a) Report to doctor → ❌ Not needed unless abnormal signs present
  • (c) Measure head circumference → ❌ Important, but not specific action for this finding
  • (d) Look for infection → ❌ No sign of infection mentioned

Simple Exam Trick:
Anterior fontanel → closes by 18 months
At 12 months → Still normal


📌 Note: Delayed closure beyond 18–24 months may indicate conditions like hypothyroidism or hydrocephalus.


💚 Exam Objective Nursing – Asha D
Concept clarity • Easy recall • Nursing success

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