A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Choice A reason:

A subdural hematoma may not directly affect the fontanels. Depressed fontanels can be a sign of dehydration or other underlying conditions, but they are not specifically associated with a subdural hematoma.

Choice B reason:

A subdural hematoma would not typically cause a decrease in body temperature. This finding may be related to other factors, but it is not a characteristic sign of a subdural hematoma.

Choice C reason:

Correct. A subdural hematoma is a collection of blood between the dura mater and the brain. This can lead to increased intracranial pressure and result in the infant being difficult to arouse.

Choice D reason:

While a weak cry can be an indication of distress or illness in an infant, it is not a specific sign of a subdural hematoma. Other assessments, including neurological signs, are crucial in evaluating the infant's condition.

Choice A reason:

Providing detailed information about the procedure is important, but the first step in obtaining informed consent is to ensure that the parent understands the information. This can be achieved by assessing their understanding.

Choice B reason:

Discussing the benefits of the procedure is part of providing information for informed consent, but it should come after assessing the parent's understanding.

Choice C reason:

Explaining the risks associated with the procedure is important, but the first step is to ensure the parent comprehends this information, which can be achieved through assessment.

Choice D reason:

This statement is correct. Before proceeding with detailed information, it is essential to determine the parent's current understanding of the procedure to ensure they can make an informed decision.