North American Registry of Midwives (NARM) Practice Exam

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At what age does the anterior fontanel generally close?

5 to 10 months
9 to 16 months
1 to 2 years
6 to 12 months

The correct answer is: 9 to 16 months

The anterior fontanel, also known as the frontal or “soft spot” on a baby's head, typically closes between 9 to 16 months of age. This timeframe allows for the continued growth and development of the brain during the infant's early years. The closure of the fontanel occurs as the bony plates of the skull fuse together, which is essential for providing protection to the brain as it develops. This particular timeframe is significant in pediatric assessments because it helps healthcare providers monitor the growth milestones in infants. If the anterior fontanel closes outside of this typical range, it may indicate potential developmental issues that warrant further investigation. Overall, understanding the normal physiology of fontanel closure supports midwives and healthcare professionals in providing appropriate care and reassurance to parents regarding their child’s development.