Pediatrics: Head Circumference Measurement
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Questions and Answers

When should occipitofrontal circumference (OFC) be measured in children?

  • At every health maintenance visit between birth and three years of age (correct)
  • Only when the child is older than three years
  • At every health maintenance visit for children of all ages
  • Only when the child has neurologic or developmental complaints

    • Why may measuring OFC in newborns be unreliable until the third or fourth day of life?

  • Because it can be affected by caput succedaneum
  • Because it can be affected by cephalohematoma
  • Because it can be affected by molding
  • All of the above (correct)

    • What should the measuring tape include when measuring OFC in children?

  • An area 1 to 2 cm above the nose anteriorly and the most prominent portion of the forehead posteriorly
  • An area 1 to 2 cm above the glabella anteriorly and the most prominent portion of the occiput posteriorly (correct)
  • An area 1 to 2 cm above the ears anteriorly and the occipital bone posteriorly
  • An area 1 to 2 cm above the eyebrows anteriorly and the most prominent portion of the chin posteriorly

    • What may affect the accuracy of OFC measurement in older infants?

    <p>All of the above</p> Signup and view all the answers

    Where should OFC be plotted to assess normal head growth in children?

    <p>On a standardized head circumference chart</p> Signup and view all the answers

    What might a disproportionately large head in children indicate?

    <p>Macrocephaly</p> Signup and view all the answers

    When can measuring OFC in newborns be unreliable?

    <p>Until the third or fourth day of life</p> Signup and view all the answers

    In which children should OFC be measured at each visit?

    <p>Children with neurologic or developmental complaints</p> Signup and view all the answers

    What should the measuring tape encircle when measuring OFC in children?

    <p>The head including an area 1 to 2 cm above the eyebrows anteriorly and the most prominent portion of the occiput posteriorly</p> Signup and view all the answers

    What may affect the accuracy of OFC measurement in older infants?

    <p>Thick hair, deformation, or hypertrophy of cranial bones</p> Signup and view all the answers

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