2355 Peds/neuro Part 3

Front 1

Hydrocephalus assessment: Head circumference should be measured and plotted on a ? chart as part of the assessment.

Back 1

growth

Front 2

After a Ventricular-Peritioneal shunt is placed the post op care includes keeping the pt in a ? position. If the pt is going to be ambulatory the EVD should be ? We should still monitor for ? even with a shunt.

Back 2

semi-fowler's,
clamped,
ICP

Front 3

A nurse is providing teaching to the family of a 5y.o. child who just had a VP shunt placed. Which statement indicates the parents understand the teaching?
1. There is no chance my child will have a seizure as long as the shunt is funtioning correctly.
2. We should see our doctor know if the child complains of a worsening HA.
3. Our child does not need to be followed by any early intervention programs, unless there is a problem.
4. We will observe for S/S of shunt malfunction until our child has had the shunt for 6 months.

Back 3

2. We should let our doctor know if the child complains of a worsening HA

Front 4

There are 3 time periods when Cerebral Palsy can happen, When the child is intra-?, During ?, between the ages of 2-3 from a ? incident or any lengthy decrease of oxygen.

Back 4

intrauterine,
birth,
drowning

Front 5

A group of PERMANENT disorders of movement and posture development causing activity limitations caused by lack of oxygen/nonprogressive disturbances occuring in the developing fetal or infant brain is ?

Back 5

Cerebral Palsy

Front 6

CP is a motor disorder but may involve cognition, communication, perception, sensation, or ? disturbances.

Back 6

behavioral

Front 7

Name the 4 types of CP ?,?,?,? (DAMS)

Back 7

Dyskinetic,
Ataxic,
Mixed,
Spastic

Front 8

When muscle are tightened in CP this is known as ? type CP. When there is decreased muscle control this is known as ? type CP, When there are abnormal movements involving balance this ? type CP, and when there is no dominant patter of movement but can involve all or a combo of these movements it is ? type CP

Back 8

Spastic,
Dyskinetic,
Ataxic,
Mixed

Front 9

Clinical manifestation of CP include DQHAHAH

Back 9

Diplegia, Quadraplegia,
Hemiplegia, Ataxia,
Hypotonia, Athetosis,
Hypertonia

Front 10

When the patient with CP is experiencing a wrigthing motion this is knows as ?

Back 10

Athetosis

Front 11

Signs that the child may have CP: When a child don't meet their milestones of ? Abnormal posture, muscle tones and abnormal/asymetrical ? If the pt has decreased core muscles this can decrease their ? development.

Back 11

development,
crawling,
speech

Front 12

When a parent asks how their child will grow and develop with CP the correct answer would be ?

Back 12

Each child will reach their own max potential, each child will be different

Front 13

The primary goal of Nsg care for a child with CP is to ?
1. Devis an individualize rehab plan for the child
2. Assist the child in developin to max potential
3. Enroll the child in a special edu program ASAP
4. Promote the cild's sense of self-esteem

Back 13

2. Assist the child in developing to max potential

Front 14

The 3 traumatic alteration of the CNS that we are talking about in class are ?,?,?

Back 14

Head Injury,
Lead poisoning,
SIADH/DI

Front 15

The 3 top causes of TBI are 1. ?, 2. ?, 3. ?

Back 15

Falls,
MVA,
Abuse/shaken baby syndrome

Front 16

The intial injury for head trauma is called the ? and when the brain bounces back and has a secondary impact this is called the ?

Back 16

coup,
counter coup

Front 17

External bruising of the head and face may be evident with ? head traumas. However, no evidence of external trauma, but the presence of intracranial or intraoccular hemorrhage is a classic sign of ?

Back 17

external,
Shaken Baby Syndrome (SBS)

Front 18

An edematous area of the scalp of the newborn that crosses suture lines is called a ? and a collection of blood between the skull and periosteum that does not cross the suture lines is called a ?

Back 18

Caput Succedaneum.

Cephalohematoma

Front 19

A ? hematoma is a collection of blood on the surface of the brain caused by severe trauma and is most often seen in children less than ? yrs of age and is frequently associated with ? fractures.

Back 19

Subdural,
<1y.o.,
Skull

Front 20

? hematoma is a caused by ? trauma and is a type of traumatic brain injury (TBI) in which a buildup of blood occurs between the dura mater (the tough outer membrane of the central nervous system) and the skull and is rare in children and almost NEVER occurs in children < ? y.o.

Back 20

epidural,
Blunt,
4y.o

Front 21

If there is a ?-line shift of the brain this is a bad sign. S/S can appear upto ?-? hrs after injury

Back 21

mid-line,
48-72 hrs

Front 22

Is areterial or venous bleeding worse ?

Back 22

areterial

Front 23

For head injury the first thing we should assess are the ?'s, and then assess ? drops. If the protective gag reflex and cough reflexes are ? and the tongue can obstruct the airway.

Back 23

ABC's,
LOC,
lost

Front 24

The med that is a Osmotic agent that reduces viscosity and lowers ICP as fluid is moved out of brain tissue into circulation is ? Cerebral blood volume is maintained as less viscous blood reduces ? to blood flow.

Back 24

Mannitol,
resistance

Front 25

The diuretic that works to reduc cerebrospinal fluid production and redctuion o f sodium transport to the brain and causes total reduction of body fluids is ?

Back 25

Lasix