If a neonate presents with craniotabes, the recommended parental reassurance is that this finding is

• A. Indicates hydrocephalus
• B. A normal variant
• C. Requires skull X-ray
• D. Warrant neurologist referral

Answer: (B)

Craniotabes is a normal, benign finding in many newborns. It happens because the skull bones are still soft and not fully ossified right after birth, so gentle tapping or pressure can cause a temporary indentation. In a healthy term neonate, this usually improves as the bones harden over the next weeks. It does not indicate intracranial problems like hydrocephalus.

No skull X-ray or neurologist referral is needed solely for craniotabes. Reassure the parents and plan routine follow-up, looking for any red flags such as a rapidly enlarging head, bulging fontanelle, poor feeding, vomiting, lethargy, or developmental concerns. If those appear, further evaluation would be appropriate. In the meantime, ensure good overall nutrition and vitamin D status.