Which of the fontalle is the last to close after birth
## Core Concept
The question pertains to the knowledge of **fontanelles**, which are soft spots on a newborn's head where the skull bones have not yet come together. There are six fontanelles in total: two anterior, two posterior, and two lateral (mastoid and sphenoidal). These fontanelles allow for flexibility during birth and rapid brain growth in infancy.
## Why the Correct Answer is Right
The **anterior fontanelle**, also known as the soft spot, is the largest and most well-known. It is located at the junction of the two parietal bones and the two halves of the frontal bone. The anterior fontanelle typically closes by the age of 18 to 24 months. The **posterior fontanelle** usually closes by 6 to 8 weeks of age. The **sphenoidal and mastoid fontanelles** close earlier, around 6 months of age. Therefore, the **anterior fontanelle** is the last to close after birth.
## Why Each Wrong Option is Incorrect
- **Option A:** This option is incorrect because it does not correspond with the anatomical location or the typical closure time of the fontanelles.
- **Option B:** This option is incorrect because, similar to option A, it does not accurately represent the last fontanelle to close.
- **Option D:** This option is incorrect because it also does not accurately represent the last fontanelle to close.
## Clinical Pearl / High-Yield Fact
A clinically relevant point to remember is that the **anterior fontanelle** being open beyond 18 months of age can be an indicator of **hydrocephalus**, **rickets**, or other conditions affecting bone growth or cerebrospinal fluid dynamics. Clinicians often assess the status of fontanelles during routine pediatric examinations.
## Correct Answer Line
**Correct Answer: C. Anterior fontanelle.**