What are signs of raised ICP in children and what modifications to care are needed?

• A. Irritability, vomiting, bulging fontanelle, high-pitched cry; care includes gentle handling, avoiding crying, careful positioning, and monitoring neuro status.
• B. Calm environment reduces ICP.
• C. Aggressive activity is beneficial.
• D. No special monitoring needed.

Answer: (A)

Recognizing signs of raised ICP in children shows that the brain is under stress and needs protective care. Irritability, vomiting, a bulging fontanelle, and a high-pitched cry are classic indicators that intracranial pressure is elevated in pediatric patients. The care approach—gentle handling, avoiding crying, positioning with the head midline and elevated, and frequent neuro checks—helps prevent additional ICP rises by reducing stress and promoting venous drainage, while closely monitoring for any changes in neurological status.