Neurological Exam 1 PEDS
Which statement about cerebral palsy would be accurate?
"Cerebral palsy is a condition that doesn't get worse."
The nurse is assessing a 4-year-old child whose mother reports that the child is more irritable lately. Which of the following questions would suggest suspected increased intracranial pressure (ICP)?
"Does she have headaches when she gets out of bed?"
he nurse is reinforcing teaching with the caregivers of a child who has had a head injury and is being discharged. Which of the following statements made by the caregiver indicate an accurate understanding of the follow-up care for their child?
"Even if the flashlight bothers him, we will check his eyes."
The parents of a child with a history of seizures who has been taking phenytoin (Dilantin) ask the nurse why it's difficult to maintain therapeutic plasma levels of this medication. Which statement by the nurse would be most accurate?
"Small increments in dosage lead to sharp increases in plasma drug levels."
The nurse caring for a neonate experiencing seizures asks the charge nurse: "How can I tell if a baby is having a seizure or is just crying for attention?" Which of the following is the best response? Select all answers that apply.
-You will not be able to stop a seizure with gentle restraint." • "The baby experiencing a seizure will be tachycardiac." • "Stimulating the baby by singing to him will not stop a seizure."
anterior closes at
18-24 mos.
posterior closes at
3 mos.
answer = answer =
AVM's (Arteriovenous malformation) apply support stockings
After teaching a group of students about neural tube disorders, the instructor determines that additional teaching is needed when the students identify which of the following as a neural tube defect?
Arnold-Chiari malformation
The nurse is caring for a child who had a seizure, fell to the ground, and hit and injured his face, head, and shoulders. This information indicates the child likely had which of the following types of seizures?
Atonic
The nurse is in the room when a child with a seizure disorder is having a seizure. The child is having generalized jerking muscle movement, and the nurse notes the bed appears to be wet with urine. The child is in which stage of the generalized seizure?
Clonic
The nurse knows that the heads of infants and toddlers are large in proportion to their bodies, placing them at risk for which of the following?
Closed head injury
Antibiotic therapy to treat meningitis should be instituted immediately after which event?
Collection of cerebrospinal fluid (CSF) and blood for culture
lumbar puncture
L4 or L5
Absence seizures are marked by which of the following clinical manifestations?
Loss of motor activity accompanied by a blank stare
While observing a child, the nurse notes that the child's arms and legs are extended and pronated. The nurse interprets this as indicating damage to which of the following?
Midbrain
The nurse is collecting data from a child who may have a seizure disorder. Which of the following is a description of an absence seizure?
Minimal or no alteration in muscle tone, with a brief loss of consciousness
A nurse is assessing a 3-year-old child with nuchal rigidity. Which sign would be documented on the chart to support this condition?
Positive Kernig's sign
A nurse is examining a boy with cerebral palsy. He has hypertonic muscles and abnormal clonus in his legs and walks on his toes. Which of the following is the type of cerebral palsy that this boy is demonstrating?
Spastic
A nurse is performing a neurologic examination of a 5-year-old child. She asks the boy to close his eyes, and then she places a crayon in his hand and asks him to identify it. Which type of ability is the nurse testing for in this boy?
Stereognosis
The nurse is caring for a child admitted with complex partial seizures. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?
The child was rubbing the hands and smacking the lips.
After teaching a group of students about medications commonly used for neuromuscular disorders, the nursing instructor determines that the teaching was successful when the students identify which agent as a centrally acting skeletal muscle relaxant?
baclofen
pupils that are pinpoint =
brainstem dysfunction
absence seizures
brief loss of consciousness school issues often misdiagnosed (inattention/daydreaming)
The father of a 7-year-old boy reports to the nurse that two or three times over the past weeks he has observed his son seemingly staring into space and rubbing his hands. The behavior lasts for a minute or so, followed by an inability of the child to understand what's being said to him. When the nurse asks the child about his experience, he says he doesn't know what his father is talking about. The symptoms this child is exhibiting might indicate the child is having
complex partial
signs of increased intracranial pressure for which u would assess are:
increased temp, low RR
status epleticus
is a common pediatric emergency
atonic seizure
less severe, sudden loss of muscle tone (momentary) sudden fall to ground, often on face
myoclonic seizure
no loss of consciousness
infant born with anencephaly
place a cap on infants head
Which intervention prevents a 17-month-old child with spastic cerebral palsy from going into a scissoring position?
place child on your hip
During the second stage of recovery from a spinal cord injury, your nursing priority would be to
prevent contractures
answer =
prodromal tonic clonic postictal
priority for child w/findings related to meningitis?
signs of ICP
5 yr old just had seizure, what to do next?
sponge w/tepid water