mommabearoar PEDS neuro
Which is the primary goal that should be included in the plan of care for a child who has cerebral palsy? 1.Eliminate the cause of the disease. 2.Improve muscle control and coordination. 3.Prevent the occurrence of emotional disturbances. 4.Maximize the child's assets and minimize the limitations.
Maximize the child's assets and minimize the limitations. The goal of managing the child with cerebral palsy is early recognition and intervention to maximize the child's abilities.
A client has been prescribed valproic acid for the treatment of generalized seizures, and the nurse reinforces instructions to the child about the potential side effects of the medication. Which statement by the client would indicate a need for further teaching? 1."I need to take the pills whole and not crush them." 2."I need to take the medication with food so that I won't get an upset stomach." 3."I am so glad that I won't lose any of my hair. I was worried what my friends would think." 4."I know that I might gain weight with the medication, so I need to be careful to not eat a lot of sweets and to eat more fruits and vegetables."
"I am so glad that I won't lose any of my hair. I was worried what my friends would think."
To ensure a safe environment for a child admitted to the hospital for a craniotomy to remove a brain tumor, the nurse should include which in the plan of care? 1.Initiating seizure precautions 2.Using a wheelchair for out-of-bed activities 3.Assisting the child with ambulation at all times 4.Avoiding contact with other children on the nursing unit
1.Initiating seizure precautions Safety of the child is the nursing priority. Seizure precautions should be implemented for any child with a brain tumor, both preoperatively and postoperatively. A thorough neurological assessment should be performed on the child, and the child's safety should be assessed before allowing the child to get out of bed without help. Assessment of the child's gait should be done daily.
A 1-year-old child is admitted to the hospital for control of tonic-clonic seizures. The nurse should perform which actions in order to protect the child from injury? Select all that apply. 1.Restrict the client's fluid intake. 2.Turn the client to the side during a seizure. 3.Keep side rails and other hard objects padded. 4.Keep hospital room lights on all of the time. 5.Keep a padded tongue blade at the bedside for use during a seizure.
2.Turn the client to the side during a seizure. 3.Keep side rails and other hard objects padded
The nurse is caring for a child recently diagnosed with cerebral palsy. The parents of the child ask the nurse about the disorder. The nurse bases the response to the parents on the understanding that cerebral palsy is best described by which statement? 1.Cerebral palsy is an infectious disease of the central nervous system. 2.Cerebral palsy is an inflammation of the brain as a result of a viral illness. 3.Cerebral palsy is a congenital condition that results in moderate to severe retardation. 4.Cerebral palsy is a chronic disability characterized by a difficulty in controlling the muscles.
Cerebral palsy is a chronic disability characterized by a difficulty in controlling the muscles.
A child is admitted to the hospital, and a diagnosis of bacterial meningitis is suspected. A lumbar puncture is performed, and the results reveal cloudy cerebrospinal fluid (CSF) with high protein and low glucose levels. The nurse determines that these results are indicative of which finding? 1.A negative test 2.The need to repeat the test 3.Confirmation of the diagnosis 4.Possible contamination of the specimen
Confirmation of the diagnosis
The nurse assists in monitoring for early signs of meningitis in a child and assists with attempting to elicit Kernig's sign. Which is the appropriate procedure to elicit a Kernig's sign? 1.Tap the facial nerve and check for spasm. 2.Extend the leg and knee and check for pain. 3.Compress the upper arm and check for tetany. 4.Bend the head toward the knees and hips and check for pain.
Extend the leg and knee and check for pain.
The nurse reinforces home care instructions to the mother of a child recovering from Reye's syndrome. Which statement by the mother indicates a need for further teaching? 1."I need to check for jaundiced skin and eyes every day." 2."I need to have my child nap during the day to provide rest." 3."I need to decrease the stimuli at home to prevent intracranial pressure." 4."I need to give frequent, small, nutritious meals if my child starts to vomit."
4. I need to give frequent, small, nutritious meals if my child starts to vomit."
The nurse is evaluating the parent's understanding of discharge care regarding the functioning of the infant's ventricular peritoneal shunt. Which statement by a parent indicates an understanding of the shunt complications? 1."I should call my doctor if my baby refuses purees." 2."My baby will pass urine more often now that the shunt is in place." 3."I should position my baby on the side with the shunt when sleeping." 4."If my baby has a high-pitched cry, I should call the primary health care provider."
If my baby has a high-pitched cry, I should call the primary health care provider.
The nurse provides homecare instructions to the parent of a child with attention deficit hyperactivity disorder regarding behavioral therapy interventions. Which statement by the parent indicates a need for further teaching? 1."I hear that the side effects of the medication that my child will be on can cause overeating." 2."I know that consistent medication and regular follow-up visits are a part of the plan for my child." 3."I know I need to maintain a consistent home environment because my child is easily distracted." 4."I understand that I will need to learn some behavioral modification techniques to help my child's impulsivity."
"I hear that the side effects of the medication that my child will be on can cause overeating. The treatment plan for children with attention deficit hyperactivity disorder includes stimulant medications that may have the adverse effect of appetite suppression and weight loss, not overeating. Treatment for these children includes behavioral therapy, maintaining a consistent environment, and appropriate classroom placement. Regular medication administration and regular follow-up visits are also important instructions for the parents.
The nurse is assisting in preparing a plan of care for a child who is being admitted to the pediatric unit with a diagnosis of seizures. Which components should be included in the plan of care? Select all that apply. 1.Maintain the bed in a low position. 2.Restrain the child if a seizure occurs. 3.Pad the side rails of the bed with blankets. 4.Place the child in a side-lying lateral position if a seizure occurs. 5.Protect the child's head, body, and extremities if a seizure occurs. 6.Place a padded tongue blade in the child's mouth if a seizure occurs.
1 Maintain the bed in a low position. 3.Pad the side rails of the bed with blankets. 4.Place the child in a side-lying lateral position if a seizure occurs. 5.Protect the child's head, body, and extremities if a seizure occurs.
the nurse in a newborn nursery is told that a newborn with spina bifida (myelomeningocele type) will be transported from the delivery room. The nurse is asked to prepare for the arrival of the newborn. The nurse places which priority item at the newborn's bedside? 1.A rectal thermometer 2.A blood pressure cuff 3.A specific gravity urinometer 4.A bottle of sterile normal saline
A bottle of sterile normal saline
The nurse is caring for a newborn with a diagnosis of spina bifida (myelomeningocele). Which should the nurse perform to monitor for a major symptom of this condition? 1.Test the urine for blood. 2.Palpate the abdomen for masses. 3.Check for responses to painful stimuli from the torso downward. 4.Check the capillary refill on the nail beds of the upper extremities.
Check for responses to painful stimuli from the torso downward.
The nurse is monitoring a child with a head injury. On data collection, the nurse notes an abnormal flexion of the upper extremities and an extension of the lower extremities. The nurse documents that the child is experiencing which? 1.Decorticate posturing 2.Decerebrate posturing 3.Flexion of the arms and legs 4.An expected position post-head injury
Decorticate posturing Decorticate posturing is an abnormal flexion of the upper extremities and an extension of the lower extremities with possible plantar flexion of the feet.
A diagnostic workup is performed on a 1-year-old child suspected of a diagnosis of neuroblastoma. Which finding specifically associated with this type of tumor would the nurse expect to find documented in the child's record? 1.Positive Babinski's sign 2.The presence of blast cells in the bone marrow 3.Projectile vomiting occurring often in the morning 4.Elevated vanillylmandelic acid (VMA) levels in the urine
Elevated vanillylmandelic acid (VMA) levels in the urine
When checking a child's trochlear nerve function, the nurse should perform which data collection technique? 1.Have the child look down and in. 2.Have the child look toward the temporal side. 3.Have the child bite down hard and open the jaw. 4.Have the child show the teeth to note symmetry of expression.
Have the child look down and in.
The nurse working in the day care center is told that a child with autism will be attending the center. The nurse collaborates with the staff of the day care center and assists in planning activities that will meet the child's needs. The nurse understands that the priority consideration in planning activities for the child is to ensure which need is met? 1.Safety with activities 2.Activities providing verbal stimulation 3.Social interactions with other children in the same age group 4.Familiarity with all activities and providing orientation throughout the activities
Safety with activities
A licensed practical nurse is providing care for a child with hydrocephalus who has had a ventriculoperitoneal shunt revision. Which data collection finding should be reported to the registered nurse immediately? 1.Temperature 100.9° F 2.Pulse 78 beats per minute 3.Blood pressure 110/70 mm Hg 4.Respirations 22 breaths per minute
Temperature 100.9° F Fever may be an indication of an infection of the shunt, which is the primary concern in the postoperative period, related to a shunt insertion. All of the other vital signs are normal findings for this child.
The nurse is reviewing a chart of a child with a head injury. The nurse notices that the level of consciousness has been documented as obtunded. Which observation should the nurse expect to make during data collection of the child? 1.The child is awake, alert, and interacting with the environment. 2.The ability to think clearly and rapidly is majorly impaired. 3.The ability to recognize place or person is severely affected. 4.The child sleeps unless aroused and, once aroused, interacts poorly with the environment.
The child sleeps unless aroused and, once aroused, interacts poorly with the environment.
The parents of a child recently diagnosed with cerebral palsy ask the nurse about the disorder. The nurse bases the response on the understanding that cerebral palsy is which type of condition? 1.An infectious disease of the central nervous system 2.An inflammation of the brain as a result of a viral illness 3.A congenital condition that results in moderate to severe retardation 4.A chronic disability characterized by impaired muscle movement and posture
A chronic disability characterized by impaired muscle movement and posture Cerebral palsy is a chronic disability characterized by impaired movement and posture resulting from an abnormality in the extrapyramidal or pyramidal motor system. Meningitis is an infectious process of the central nervous system. Encephalitis is an inflammation of the brain that occurs as a result of viral illness or central nervous system infection. Down syndrome is an example of a congenital condition that results in moderate to severe retardation.
The nurse is caring for a child who sustained a head injury in an automobile accident and is monitoring the child for signs of increased intracranial pressure (ICP). The nurse plans to monitor for an early sign of increased ICP by checking for which sign? 1.Apnea 2.Posturing 3.Tachycardia 4.Changes in level of consciousness
Changes in level of consciousness
The nurse is reinforcing information to parents regarding the signs of meningitis. The nurse informs the parents that which are the primary signs/symptoms of meningitis? 1.Nausea and delirium 2.Anorexia and back pain 3.Night blindness and confusion 4.Severe headache and neck stiffness
Severe headache and neck stiffness
A child is diagnosed with Reye's syndrome. The nurse assists with developing a nursing care plan for the child and should include which intervention in the plan? 1.Assess hearing loss. 2.Monitor urine output. 3.Change body position every 2 hours. 4.Provide a quiet atmosphere with dimmed lighting.
provide a quiet atmosphere with dimmed lighting. Reye's syndrome is an acute encephalopathy that follows a viral illness and is characterized pathologically by cerebral edema and fatty changes in the liver. A definitive diagnosis is made by liver biopsy. In Reye's syndrome, supportive care is directed toward monitoring and managing cerebral edema. Decreasing stimuli in the environment by providing a quiet environment with dimmed lighting would decrease the stress on the cerebral tissue and neuron responses.
The nurse is initiating seizure precautions for a child being admitted to the nursing unit. Which items are essential for the nurse to place at the bedside? 1.Oxygen and a tongue depressor 2.A suction apparatus and oxygen 3.An airway and a tracheotomy set 4.An emergency cart and an oxygen mask
2.A suction apparatus and oxygen
The nurse is caring for a hospitalized infant and is monitoring for increased intracranial pressure (ICP). The nurse notes that the anterior fontanel bulges when the infant cries. Based on this finding, which action should the nurse take? 1.Document the findings. 2.Lower the head of the bed. 3.Place the infant on nothing-by-mouth (NPO) status. 4.Ask the registered nurse to notify the primary health care provider immediately.
Document the findings.
The nurse instructs a mother of a child who has seizures regarding seizure precautions. Which statement by the mother indicates a need for further teaching?1."I will make my child wear a medical identification alert bracelet." 2."I know that my child will need to have a companion when swimming." 3."I will need to give antiseizure medications when my child has a seizure." 4."I will have my child wear a bike helmet when riding a bike or skateboarding."
"I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are given on a routine basis to prevent a seizure, they are not rescue medications given at the time of a seizure. Padding the side rails, having a child wear a medical alert bracelet, swimming with a companion, and wearing a protective helmet while riding a bike or skateboarding are just a few of the precautions that are discussed with families.
The nurse is caring for a newborn with spina bifida (myelomeningocele type) who is scheduled for the removal of the gibbus (sac on the back filled with cerebrospinal fluid, meninges, and some of the spinal cord). Which is the priority nursing action in the preoperative period? 1.Check the blood pressure. 2.Check specific gravity of the urine. 3.Check the anterior fontanel for depression. 4.Maintain moisture of the normal saline dressing on the gibbus area.
Maintain moisture of the normal saline dressing on the gibbus area. The newborn is at risk for infection before closure of the gibbus. A sterile normal saline dressing is placed over the gibbus to maintain moisture of the gibbus and its contents. This prevents tearing or breakdown of the skin integrity at the site.
A child has a basilar skull fracture. Which primary health care provider's prescription should the nurse question? 1.Restrict fluid intake. 2.Insert an indwelling urinary catheter. 3.Keep an intravenous (IV) line patent. 4.Suction via the nasotracheal route as needed.
Suction via the nasotracheal route as needed. Nasotracheal suctioning is contraindicated in a child with a basilar skull fracture. Because of the location of the injury, the suction catheter may be introduced into the brain. Fluids are restricted to prevent fluid overload. The child may require a urinary catheter for the accurate monitoring of I&O. An IV line is maintained to administer fluids or medications, if necessary.
A nursing student is caring for a child with increased intracranial pressure. On review of the chart, the student nurse notes that a transtentorial herniation has occurred. A nursing instructor asks the student about this type of herniation. Which statement by the student indicates a need for further research about this condition? 1."It can cause death if large amounts of tissue are involved." 2."It involves only the anterior portions of the client's brain." 3."The herniation can be either unilateral or bilateral in nature." 4."The brain herniates downward and around the tentorium cerebelli."
"It involves only the anterior portions of the client's brain." Transtentorial herniation occurs when part of the brain herniates downward and around the tentorium cerebelli. It can be unilateral or bilateral and may involve anterior or posterior portions of the brain. If a large amount of tissue is involved, it can cause death because vital brain structures are compressed and become unable to perform their functions.
The nurse is caring for a child following surgical removal of a brain tumor. The nurse is monitoring the child and notes that the pulse rate has increased and the blood pressure has dropped significantly. Bloody drainage also is noted on the posterior dressing. Which is the best nursing action? 1.Document the findings. 2.Notify the registered nurse (RN). 3.Recheck the vital signs in 1 hour. 4.Place the child in Trendelenburg's position.
Notify the registered nurse (RN). In the event of bleeding and suspected shock, the primary health care provider is notified immediately. The nurse would contact the RN, who would then contact the primary health care provider. The child is never placed in Trendelenburg's position because it increases intracranial pressure (ICP) and the risk of bleeding.
The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing. During data collection about the child, the nurse expects to note which characteristic of this type of posturing? 1.Flaccid paralysis of all extremities 2.Adduction of the arms at the shoulders 3.Rigid extension and pronation of the arms and legs 4.Abnormal flexion of the upper extremities and extension and adduction of the lower extremities
Rigid extension and pronation of the arms and legs Decerebrate (extension) posturing is characterized by the rigid extension and pronation of the arms and legs.
The nurse is developing a plan of care for a child with autism. The nurse should identify which priority problem for this child? 1.Risk for injury 2.Inability to interact socially 3.Troubling thought processes 4.Inability to verbally communicate
Risk for injury Risk for injury related to an inability to anticipate danger, a tendency for self-mutilation, and sensory perceptual deficits are the priority concerns. Inability to interact socially, troubling thought processes, and inability to verbally communicate are also appropriate problems for the child with autism, but the priority is the risk for injury.
The nurse is reviewing the postoperative prescriptions for an infant with hydrocephalus, who came back from surgery with a ventriculoperitoneal shunt. Which of the primary health care provider's prescriptions does the nurse question? 1.Position the infant on the inoperative side. 2.Keep the head of the bed elevated 45 degrees. 3.Monitor for signs of infection and check dressings for drainage. 4.Observe for irritability, a high shrill cry, lethargy, and poor feeding.
Keep the head of the bed elevated 45 degrees. Postoperative management for infants with hydrocephalus who have undergone ventriculoperitoneal shunt should be flat in bed to avoid the rapid reduction of intracranial fluid. Observe for increased ICP, if it occurs elevate the head of the bed to 15 to 30 degrees to enhance gravity flow through the shunt. Position the infant on the inoperative side to prevent pressure on the shunt valve. Monitor for signs of infection and check dressings for drainage. A high shrill cry in an infant can be a sign of increased ICP.
The nurse is monitoring an infant for signs of increased intracranial pressure (ICP) and notes that the anterior fontanel bulges when the infant is sleeping. Based on this finding, which is the priority nursing action? 1.Increase oral fluids. 2.Document the finding. 3.Notify the registered nurse. 4.Place the infant in a side-lying position.
Notify the registered nurse. The anterior fontanel is diamond-shaped and located on the top of the head. It should be soft and flat in a normal infant, and it normally closes by 12 to 18 months of age. A larger-than-normal fontanel may be a sign of increased ICP within the skull. Although the anterior fontanel may bulge slightly when the infant cries, bulging at rest may indicate increased ICP. Increasing oral fluids and placing the infant in the side-lying position are inaccurate interventions. Although the nurse should document the finding, the first action is to report the finding to the registered nurse, who will then contact the primary health care provider.
The nurse assists with developing a plan of care for the child with meningitis. Which would be the priority client problem for a child with a meningitis diagnosis? 1.Pain 2.Inadequate knowledge 3.Neurological dysfunction 4.Difficult family coping processes
3.Neurological dysfunction
Which finding would indicate that a child had a tonic-clonic seizure during the night? 1.High-pitched cry 2.Blanched toenails 3.Blood on the pillow 4.Migraine headaches
Blood on the pillow The complications associated with seizures include airway compromise, extremity and teeth injuries, and tongue lacerations. Night seizures can cause the child to bite down on the tongue.
The nurse is reinforcing instructions to the parents of an infant with a ventriculoperitoneal shunt. The nurse plans to include which instruction? 1."Expect an increased urine output from the shunt." 2."Call the primary health care provider if the infant is fussy." 3."Call the primary health care provider if the infant has a high-pitched cry." 4."Position the infant on the side of the shunt when the infant is put to bed."
Call the primary health care provider if the infant has a high-pitched cry."
The nurse assists with preparing a nursing care plan for a child who has Reye's syndrome. Which is the priority nursing intervention? 1.Monitoring the output 2.Checking pupillary responses 3.Changing the body position every 2 hours 4.Providing a quiet atmosphere with dimmed lights
Providing a quiet atmosphere with dimmed lights
The nurse reviews the plan of care for a child with Reye's syndrome. Which priority complication should the nurse plan to monitor? 1.Signs of hyperglycemia 2.Signs of a bacterial infection 3.The presence of protein in the urine 4.Signs of increased intracranial pressure
Signs of increased intracranial pressure
When checking a child's glossopharyngeal nerve function, the nurse should perform which data collection technique? 1.Have the child shrug the shoulders while applying mild pressure. 2.Have the child follow a light in the six cardinal positions of gaze. 3.Test sense of sour or bitter taste on the posterior segment of the tongue. 4.Test sense of sweet or salty taste on the anterior section of the tongue.
Test sense of sour or bitter taste on the posterior segment of the tongue.
Which statement should the nurse include when providing safety instructions to the parents of an infant with a diagnosis of hydrocephalus? 1."Feed your infant in a side-lying position." 2."Place a helmet on your infant when in bed." 3."Hyperextend your infant's head with a rolled blanket under the neck area." 4."When picking up your infant, support the infant's neck and head with the open palm of your hand."
When picking up your infant, support the infant's neck and head with the open palm of your hand."
The nurse is assisting with collecting data on a child with seizures. The nurse is interviewing the child's parents to establish their adjustment to caring for their child with a chronic illness. Which statement by the parents indicates a need for further teaching? 1."Our child sleeps in our bedroom at night." 2."We worry about injuries when our child has a seizure." 3."Our child is involved in a swim program with neighbors and friends." 4."Our babysitter just completed first-aid and child resuscitation training."
"Our child sleeps in our bedroom at night."
The nurse is preparing to care for a child with a head injury. On review of the records, the nurse notes that the primary health care provider has documented decorticate posturing. The nurse plans care, knowing that this type of posturing indicates which finding? 1.Damage to the midbrain 2.Dysfunction of the pons 3.Damage to the diencephalon 4.Dysfunction in the cerebral hemisphere
Dysfunction in the cerebral hemisphere
A child with a brain tumor returns from the recovery room following "debulking" of the tumor. The nurse assigned to care for the child monitors the child for brainstem involvement. Which sign would indicate that brainstem involvement occurred during the surgical procedure? 1.Inability to swallow 2.Altered hearing ability 3.Elevated temperature 4.Orthostatic hypotension
Elevated temperature Vital signs and neurological status are checked frequently. Special attention is paid to the child's temperature, which may be elevated because of hypothalamus or brainstem involvement during surgery. A cooling blanket should be in place on the bed or be readily available if the child becomes hyperthermic.
A school nurse is preparing a physical education plan for a child with Down syndrome. Before preparing the plan, the nurse obtains which copy of an x-ray report? 1.The child's hands 2.The child's heart 3.The child's cervical spine 4.The child's chest and lungs
The child's cervical spine Children with Down syndrome frequently have instability of the space between the first two cervical vertebrae. They require diagnostic studies (an x-ray of the cervical spine) to determine if this is present before participating in activities that put pressure on the head and neck, which could cause spinal cord compression.
The nurse is caring for a 3-year-old child with suspected bacterial meningitis. Which signs and symptoms should the nurse expect to find during the initial data collection? Select all that apply. 1.Fever 2.Cough 3.Irritability 4.Hypothermia 5.Nuchal rigidity 6.Closed anterior fontanel
1,3,5 1.Fever 3.Irritability 5.Nuchal rigidity The initial signs and symptoms of bacterial meningitis include fever, nuchal rigidity, and irritability. The anterior fontanel closes by 12 to 18 months of age.
The nurse is monitoring a 7-year-old child who sustained a head injury in a motor vehicle crash for signs of increased intracranial pressure (ICP). The nurse assesses the child frequently for which early sign of increased ICP? 1.Nausea 2.Papilledema 3.Decerebrate posturing 4.Alterations in pupil size
1.Nausea Nausea is an early sign of increased ICP. Late signs of increased ICP include a significant decrease in level of consciousness, Cushing's triad (increased systolic blood pressure and widened pulse pressure, bradycardia, and irregular respirations), and fixed and dilated pupils. Other late signs include decreased motor response to command, decreased sensory response to painful stimuli, posturing, Cheyne-Stokes respirations, and papilledema.
A licensed practical nurse (LPN) is bathing a neonate and notices small dark tufts of fine hair on the neonate's lower back. The LPN should take which best action? 1.Notify the registered nurse of the finding. 2.Check for other associated anomalies and document carefully. 3.Tell the mother and father that this may indicate spina bifida. 4.Recognize that this is normal in the neonate and continue the bath
Notify the registered nurse of the finding. In this instance, the tuft of hair may be indicative of a spinal anomaly, and the registered nurse should be notified of the finding.
The nurse should anticipate that which medication is the most likely to be prescribed prophylactically for a child with spina bifida (myelomeningocele) who has a neurogenic bladder? 1.Prednisone 2.Sulfasalazine 3.Furosemide 4.Intravenous immune globulin (IVIG)
Sulfasalazine A neurogenic bladder prevents the bladder from completely emptying because of the decrease in muscle tone. The most likely medication to be prescribed to prevent urinary tract infection would be an antibiotic. A common prescribed medication is sulfasalazine.
The nurse is caring for a newborn diagnosed with Down syndrome. The parents are asking questions about the disorder. The nurse should provide which information when discussing Down syndrome? 1.The condition is characterized by above-average intellectual functioning with deficits in adaptive behavior. 2.The condition is characterized by average intellectual functioning and the absence of deficits in adaptive behavior. 3.The condition is characterized by subaverage intellectual functioning with the absence of deficits in adaptive behavior. 4.The condition is congenital and results in moderate to severe retardation and has been linked to an extra chromosome 21 (group G).
4.The condition is congenital and results in moderate to severe retardation and has been linked to an extra chromosome 21
The nurse should implement which actions in the care of a child who is having a seizure? Select all that apply. 1.Time the seizure. 2.Restrain the child. 3.Stay with the child. 4.Insert an oral airway. 5.Place the child in a supine position. 6.Loosen clothing around the child's neck.
1,3,6 1.Time the seizure. . 3.Stay with the child.6.Loosen clothing around the child's neck.
