PEDS Chapter 16 - Neurologic Disorder
Swelling does not cross the suture lines
After a difficult birth, the nurse observes that a newborn has swelling on part of his head. Which sign suggests cephalohematoma?
Gait
Changes in what, muscle tone, or strength may indicated certain neurologic problems
Painful
Lack of what stimuli can indicate a life-threatening condition
Febrille seizures
Rectal diazepam for
Craniosynostosis
Surgical correction to allow brain growth
Moving the infant's head every 2 hours
The nurse caring for an infant with craniosynostosis, specifically positional plagiocephaly, should prioritize which activity
Doll's eye
What maneuver can be helpful in assessing cranial nerves III, IV, and VI in an infant, uncooperative child, or comatose child
Request order for an antiemetic Assess intake & output every shift Request order for anticonvulsant
An 11 year old child was recently diagnosed with chickenpox. His parents gave him aspirin for a fever and the child is now hospitalized. Which nursing interventions are appropriate for this child?
Bruit
During auscultation, a loud or localized what indicated the need for immediate further investigation
Horizontal nystagmus
During physical assessment of a 2 month old infant, the nurse suspects the child may have a lesion on the brain stem. Which symptom was observed?
Reye syndrome
Maintain cerebral perfusion, manage ICP, manage hydration, and safety measures
Positional plagiocephaly
Position the infant so that the flatten area is up
Intracranial hemorrhaging
Preterm infants have more fragile capillaries in the periventricular area than term infants. Which problem does this put these infants at risk for?
coma, stupor, obtunded, confusion, full consciousness
The levels of consciousness in the order from lowest to highest
18 year old student who is preparing for college in the fall & has signed up to live in a dorm with 2 other suite mates 12 year old child with asthma 5 year old child who routinely travels in the summer with her parents on mission trips to Haiti 9 year old child who was diagnosed with diabetes mellitus when he was 7 years old
The meningococcal vaccine should be offered to high risk populations. If never vaccinated who has an increased risk of becoming infected with meningococcal meningitis?
Ensuring the parents know how to properly give antibiotics
The nurse has developed a nursing plan for the care of a 6 year old girl with congenital hydrocephalus whose shunt has become infected. The most important discharge teaching point for this family is?
Video electroencephalogram
The nurse is caring for a 3 year old boy who is experiencing seizure activity. Which diagnostic test will determine the seizure area in the brain?
A neural tube defect
The nurse is caring for a near term pregnant woman who has not taken prenatal vitamins or folic acid supplements. Which congenital defect is most likely to occur based on the mother's prenatal history?
Trouble focusing when reading
The nurse is caring for an 8 year old girl who was in a car accident. Which symptom suggests the child has a cerebral contusion?
What questions or concerns do you have about this device?
The nurse is providing education to the parents of a 3 year old girl with hydrocephalus who has just had an external ventricular drainage system placed. Which question is best to begin the teaching session?
The child's toes are pointed downward, his head and neck are arched backward, & his arms & legs are extended The child's heart rate is 56 bpm The child's pupils are fixed and dilated
The young boy was involved in a motor vehicle accident & was admitted to the PICU with changes in LOC & a high pitched cry. Which are late signs of increased intracranial pressure?
Initiate droplet isolation Identify close contacts of the child who will require postexposure prophylactic medication Administer antibiotics as ordered Initiate seizure precautions
The young child has been diagnosed with bacterial meningitis. Which of these nursing interventions are appropriate?
Aseptic meningitis
Treat aggressively with intravenous antibiotics initially
Intercranial
What pressure is inversely related to level of consciousness
Kernig
What sign indicates meningitis
Touch
When assessing sensory function in an infant, limit the examination to what
"During the first 3-4 weeks of pregnancy brain & spinal cord development occur and are affected by nutrition, drugs, infection, or trauma.
A pregnant client asks if there is any danger to the development of her fetus in the first few weeks of her pregnancy. How should the nurse respond to this?
