New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

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What does a sunken fontanelle in an infant indicate?

  1. Normal hydration status

  2. Intracranial pressure

  3. Dehydration

  4. Airway obstruction

The correct answer is: Dehydration

A sunken fontanelle in an infant is a key indicator that points to dehydration. The fontanelles, which are the soft spots on an infant's skull, normally appear flat or slightly bulging when the child is well-hydrated. However, when hydration levels drop, the body's ability to retain fluid can result in a sunken appearance of these areas, reflecting a lack of adequate fluid volume. Dehydration can occur due to various reasons, such as illness, diarrhea, vomiting, or insufficient fluid intake. In infants, this condition can quickly lead to more severe health issues, making recognition of a sunken fontanelle crucial. Monitoring fontanelles is a common practice in pediatric assessments as they offer important clues regarding an infant's fluid status and overall health.