Neuro Section Of Ped's Test

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| By Monrojen

Monrojen

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Quizzes Created: 1 | Total Attempts: 108

Questions: 53 | Attempts: 108 | Updated: Feb 20, 2024

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Stuff from the neuro muscular section. . .

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Current Version
Feb 20, 2024

Quiz Edited by
ProProfs Editorial Team
Oct 24, 2016

Quiz Created by
Monrojen

Neuro Section Of Ped's Test

The most common permanent disability in children.

Cerebral palsy is..

With regards to CP, _______________plays the most significant role in the pathology of brain damage.

CP manifests differently in each child.

Cerebral Palsy is associated with cerebral damage; especially during: (choose all that apply)

An 8 month old is admitted with head injuries after falling from his high chair. The nurse closely monitors for signs of increased intracranial pressure. She should expect an 8-month old with increased ICP to have:

A 6-year old is admitted to the ER after falling from a tree. Which question helps to assess level of consciousness (LOC)?

While caring for a 6 year old with a basilar skull fracture, the nurse notices that the child has developed fever and is becoming drowsy. The nurse should suspect which condition?

A nurse is assessing a 3 year old who has had surgery for ventriculoperitoneal shunt placement to treat hydrocephalus. Which symptom indicates that the child has increased ICP?

Microcephaly is usually associated with mental retardation. Which finding indicates that an infant has microcephaly?

Which factor accounts for the fact that a young child's response to head injury differs from that of an adolescent or an adult?

An infant was diagnosed with phenylketonuria (PKU) at age 6 weeks. At follow-up home visits, the nurse should assess for:

Leading cause of head injury in children under age 5?

A 4 year old is in the emergency department for a 2 day old puncture wound that occurred when he stepped on a nail. Which assessment finding suggests tetanus?

A 2-year old is diagnosed with concommunicating hydrocephalus due to an Arnold-Chiari malformation. Arnold-Chiari malformation results in an accumulation of CSF within the ventricular system. This accumulation is caused by

A 10 year old is having a tonic clonic seizure at school. What is the first intervention by the nurse?

A nurse is assessing an infant after repair of a myelomeningocele. What complication is the most common with this defect?

A child returns from surgery with a ventriculoperitoneal shunt for treatment of hydrocephalus. The first intervention is to :

With the exception of the Babinski reflex which lasts til around age 12 months, most infantile reflexes should be gone at around 4 months.

At 3 months infant should have head control with it being well established by 4 months.

A 3 month old infant has a ventriculoperitoneal shunt inserted. The nurse should pland to :

The nurse should teach the parents of an infant with cerebral palsy to:

Depending on the severity of the disability, the child may not be diagnosed with CP until up to 3 years of age, even if brain injury occurs before or at the time of birth.

Which of the following statements are true regarding CP? (choose all that apply)

This classification of CP presents as Floppy with diminished reflex response, as well as positive parachute reflex beyond 6 months.

Classification of CP that may involve one or both sides of body, tense muscles, uncoordinated impaired fine gross and gross motor activity that is rigid and spastic, scissoring

Classification of CP that affects the child's balance and depth perception, causing poor and irregular muscle coordination and an unsteady WIDE GAIT.

Classification of CP abnormal, involuntary, slow, uncontrollable WRITHING movements of hands, feet, legs, more distally. Constant worm like WRITHING movements that usually involve all extremities.

Spina Bifida is a neural tube defect.

Spina bifida is a failure of the spinal bony covering to close.

A defect in the bony spine invisible to the eye with no manifestations or problems.

Spinal defect and the sac-like protrusion are present, but only spinal fluid and meninges are present in the sac. After the sac is repaired no further symptoms are usually seen since spinal nerves are not damaged.

The term spina bifida is usually used to refer to this condition. There is a visible defect in the spine with a sacklike protrusion at any level of the spinal column at the midline of the bac. The sac contains meninges, spinal fluid , and nerves

Neural tube defect has been linked to insufficient folic acid in the maternal diet.

A woman who is pregnant is undergoing an amniocentesis. During the test, elevated lefels of AFP are found. What further diagnostic tests will be performed? Check all that apply

An infant is born with a myelomeningocele at the high lumbar level. What nursing assessments and interventions should the nurse prepare for after the child is born and before the infant's initial surgery to repair the defect? Choose all that apply:

A 6-year old child with spina bifida (myelomeningocele) is not yet toilet trained for either bowel or bladder. Nursing interventions of this child are based on the knowledge that the child with spina bifida:

A child with spina bifida should be instructed in intermittent bladder cathetization using a clean latex catheter.

A priority nursing diagnosis for a child who sits in a wheelchair all day is risk for impaired skin integrity.

A school age child with spina bifida has a shunt in place for hydrocephalus. Which of the following signs and symptoms are manifestations of increased intracranial pressure? (select all that apply).

Duchenne Muscular dystrophy (DMD) is the most common form of MD.

Muscular dystrophy (MD) is a group of inherited disorders with progressive degeneration of symmetric skeletal muscle groups.

Duchenne's Muscular dystrophy is inherited by X-linked recessive trait.

Most myelomeningoceles involve the lumbar and lumbosacral area.

Hydrocephalus is frequently associated with spina bifida/myelomeningocele.

Encephalocele is herniation of the brain through a skull defect.

Ancephaly is an interchangeable term with microcephaly.

Tethered Cord is another problem sometimes associated with Spina Bifida where there is pulling and stretching on the fixed spinal cord.