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Multiple Choice

Infant signs associated with intracranial pressure include:

Infants have soft spots where the skull bones haven’t fused yet, so when intracranial pressure rises, the fontanel can push outward and become bulging, sometimes tense or pulsatile. This outward bulging directly reflects the skull accommodating increased pressure inside, making it the best sign among the options. Decreased head circumference isn’t a typical indicator of raised ICP in infancy; if ICP is an issue, head size may enlarge or change over time rather than shrink. Cradle cap is just a scalp dermatitis and not related to intracranial pressure. A normal head circumference by itself doesn’t point to ICP.

Infants have soft spots where the skull bones haven’t fused yet, so when intracranial pressure rises, the fontanel can push outward and become bulging, sometimes tense or pulsatile. This outward bulging directly reflects the skull accommodating increased pressure inside, making it the best sign among the options. Decreased head circumference isn’t a typical indicator of raised ICP in infancy; if ICP is an issue, head size may enlarge or change over time rather than shrink. Cradle cap is just a scalp dermatitis and not related to intracranial pressure. A normal head circumference by itself doesn’t point to ICP.