of absorption, blockage of flow or overproduction of the cerebral spinal fluid that is found inside the ventricles of the brain. This may result in a build up of fluid that can cause the pressure inside of the head to increase and the skull bones to expand to a larger than normal. Causes: - blockage of the CSF flow inside of the head - problems with the body absorbing the CSF - overproduction of the CSF - tumors, infection, prematurity, bleeding inside the head, birth injury and abnormal blood vessel formation inside of the head Signs and Symptoms: - a ful or bulging fontanel - increasing head circumference - seizures - bulging eyes and an inability of the baby to look upward with the head facing forward - very noticeable scalp veins - very noticeable scalp veins - increased irritability - high pitched cry - poor feeding - projectile vomiting - sleepiness or less alert than usual - developmental delays Diagnostic Tests: - X-ray, is a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones and organs onto film. - Magnetic Resonance Imaging- a diagnostic procedure that uses a combination of large magnets, radiofrequencies and a computer to produce detailed images of organs and structures within the body. - Computed Tomography Scan- a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images often called as slices, both horizontal y and vertically of the body. Nursing and Medical Managements: - prevent injury - promote skin integrity - prevent infection - promote growth and development - reduce family anxiety - provide family teaching Complications: - infection - shunt malfunction - bleeding - fever - vomiting - irritability - irritability - redness and swelling along the area of the tubing.