Neuro Section Of Ped's Test

53 Questions | Total Attempts: 1753

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Neuro Quizzes & Trivia

Stuff from the neuro muscular section. . .


Questions and Answers
  • 1. 
    The most common permanent disability in children.
    • A. 

      Spina Bifida

    • B. 

      Cerebral Palsy

    • C. 

      Glomerlular Disease

    • D. 

      Asthma

  • 2. 
    Cerebral palsy is..
    • A. 

      Progressive

    • B. 

      Non-progressive

    • C. 

      Degenerative

  • 3. 
    With regards to CP,  _______________plays the most significant role in the pathology of brain damage.
    • A. 

      Genetics

    • B. 

      Fetal alcohol syndrome

    • C. 

      Anoxia

    • D. 

      Premature birth

  • 4. 
    CP manifests differently in each child.
    • A. 

      True

    • B. 

      False

  • 5. 
    Cerebral Palsy is associated with cerebral damage; especially during: (choose all that apply)
    • A. 

      The perinatal period

    • B. 

      The prenatal period

    • C. 

      Adolescence

  • 6. 
    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. 

      Diplopia

    • B. 

      Headache

    • C. 

      Behavior changes

    • D. 

      A bulging fontanel.

  • 7. 
    A 6-year old is admitted to the ER after falling from a tree.  Which question helps to assess level of consciousness (LOC)?
    • A. 

      What is your name?

    • B. 

      Do you have a headache?

    • C. 

      What day is it?

    • D. 

      What happened after you fell out of the tree?

  • 8. 
    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. 

      Meningitis

    • B. 

      Hemorrhage

    • C. 

      Herniation

    • D. 

      Edema

  • 9. 
    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?
    • A. 

      Bulging Fontanel

    • B. 

      Vomiting

    • C. 

      Nuchal rigidity

    • D. 

      Sunset eyes

  • 10. 
    Microcephaly is usually associated with mental retardation.  Which finding indicates that an infant has microcephaly?
    • A. 

      Premature closure of single or multiple sutures of the cranial vault

    • B. 

      Head circumference more than two standard devieations above average on growth charts.

    • C. 

      Head circumference more that two standard deviations below average on growth charts.

    • D. 

      Premature closure of the coronal sutures, causing the skull to become shortened.

  • 11. 
    Which factor accounts for the fact that a young child's response to head injury differs from that of an adolescent or an adult?
    • A. 

      Proportionally larger head size

    • B. 

      Thicker brain tissue

    • C. 

      Large subdural spaces

    • D. 

      Smaller volume of blood in the brain

  • 12. 
    An infant was diagnosed with phenylketonuria (PKU) at age 6 weeks.  At follow-up home visits, the nurse should assess for:
    • A. 

      Hemolytic disease

    • B. 

      Delayed development

    • C. 

      Erythroblastosis fetalis

    • D. 

      Hyaline membrane disease

  • 13. 
    Leading cause of head injury in children under age 5?
    • A. 

      Nonaccidental trauma

    • B. 

      Falls at home

    • C. 

      MVA

    • D. 

      Trauma caused by sibling

  • 14. 
    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. 

      Stiffness of the neck and jaw

    • B. 

      Decreased LOC

    • C. 

      Abdominal cramping and vomiting

    • D. 

      Purulent drainage from the puncture site

  • 15. 
    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. 

      Inadequate absorption of CSF within the subarachnoid space

    • B. 

      Delayed closure of the skull sutures

    • C. 

      Premature closure of the skull sutures

    • D. 

      Obstruction of csf within the ventricles

  • 16. 
    A 10 year old is having a tonic clonic seizure at school.  What is the first intervention by the nurse?
    • A. 

      Loosen restrictive clothing

    • B. 

      Turn the child to a side lying position

    • C. 

      Place the child in an upright position

    • D. 

      Put a tongue blade in the child's mouth

  • 17. 
    A nurse is assessing an infant after repair of a myelomeningocele.  What complication is the most common with this defect?
    • A. 

      Sepsis

    • B. 

      Meningitis

    • C. 

      Hydrocephalus

    • D. 

      Central cyanosis

  • 18. 
    A child returns from surgery with a ventriculoperitoneal shunt for treatment of hydrocephalus.  The first intervention is to :
    • A. 

      Check the child's IV line

    • B. 

      Take the childs vital signs

    • C. 

      Check the head and abdominal dressings

    • D. 

      Place the child on the nonoperative side

  • 19. 
    With the exception of the Babinski reflex which lasts til around age 12 months, most infantile reflexes should be gone at around 4 months.
    • A. 

      True

    • B. 

      False

  • 20. 
    At 3 months infant should have head control with it being well established by 4 months.
    • A. 

      True

    • B. 

      False

  • 21. 
    A 3 month old infant has a ventriculoperitoneal shunt inserted.  The nurse should pland to :
    • A. 

      Keep the infant in the prone position

    • B. 

      Apply sterile, moist dressings to the incision

    • C. 

      Observe for signs of leakage of cerebrospinal fluid

    • D. 

      Teach the parents the signs of increased intracranial pressure

  • 22. 
    The nurse should teach the parents of an infant with cerebral palsy to:
    • A. 

      Maintain immobility of limbs with splints

    • B. 

      Focus on cognitive rather than motor skills

    • C. 

      Preserve muscle tone to prevent contractures

    • D. 

      Continue to offer the special formula to limit gagging

  • 23. 
    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.
    • A. 

      True

    • B. 

      False

  • 24. 
    Which of the following statements are true regarding CP?  (choose all that apply)
    • A. 

      Early recognition is the key to obtaining optimal development.

    • B. 

      It is a permanent disorder.

    • C. 

      Anoxia plays the most significant role in the pathology of associated brain damage

    • D. 

      It is a progressive disorder

  • 25. 
    This classification of CP presents as Floppy with diminished reflex response, as well as positive parachute reflex beyond 6 months.
    • A. 

      Hypotonia

    • B. 

      Hypertonia (spastic)

    • C. 

      Athetoid (dyskinetic

    • D. 

      Atxaxia

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