NURS 306 EXAM 1 – Questions With Appropriate
Solutions
Save
Terms in this set (264)
Eliciting a pediatric neurological exam history
includes assessing mental status
speech
visual
CN
cranium/skull
motor and sensory
reflex testing (DTRs)
glasgow coma scale (GCS if indicated)
health promotion on TBI Health promotion for TBI in pediatrics focuses on
injury prevention through proper car seat and
seatbelt use, helmet use during sports and
recreational activities, fall prevention strategies,
caregiver education to prevent shaken baby
syndrome, and early recognition of concussion
symptoms. Education of parents and coaches is
essential because TBI is a leading cause of
preventable death in children.
non-accidental TBI: shaken baby leading cause of child abuse deaths in kids <5
syndrome infants have greates risk of shaken baby syndrome -
crying
is shaken baby syndrome yes it is preventable through education
preventable?
,what are long term effects in shaken vision problems, developmental delays, physical
baby syndrome? disabilities, and hearing loss
**crossed eyes, shaken baby brain moves around
(forward/back) creates damaged in vessels in the
back
A nurse is caring for a school-age ability to speak
child who has trauma to the left frontal
lobe. Which of the following functions
should the nurse anticipate to be
altered because of the trauma?
Vision
Ability to read
Ability to speak
Hearing
classification of TBI primary or secondary
TBI can occur after blow or jolt to the head
TBI can be accidental or nonaccidental
how should we assess TBI assess GSC score and observe for posturing
(decorticate vs decerebrate)
decorticate
decerebrate
what labs should we monitor when electrolyte abnormalities
peds have TBI?
,Which age group has the highest risk toddlers and infants!!
of having a traumatic brain injury? toddlers is due to head is very disproportionate for
bodies, can get a concussion because still learning
how to walk
infants is due to skull's still have soft spots, brains
more exposed, no control of head, dropped by
someone, people will get frustrated, shaken baby
early signs of TBI Photophobia
Nausea and vomiting
Headaches
Vertigo
Irritability
Lethargy
Poor feeding (in an infant)
Amnesia and/or confusion
Apnea (especially in an infant)
Altered level of consciousness (from mild to coma)
Leakage of CSF from the ears or nose
what is most common sign of TBI n/v
h/a
if there is a sign of leakage coming super bad
from child noise what would that be a leakage could be CSF
sign of?
late signs of TBI increased ICP
hydrocephalus
seizure activity
posturing - decrebrate, decorticate
unequla or nonreactive pupils
ecchymosis around the eyes or the mastoid
diminished reflexes or return of primitive reflexes
babinski
coma
, what are signs of increased ICP high BP
low HR
low RESP
cushing's triad
ecchymosis bruising
if babinski sign returns that is a very bad sign infantile reflexes
hydrocephalus is increased fluid and pressure
which one is worst decerebrate or decerebrate
decorticate
Which age group has the highest adolescents
prevalence of traumatic brain injury?
GCS determines classification of TBI
why is classification of TBI important? it provides guidance regarding tx and nurisng care. in
addition it assess the LOC of the child, taking care to
use the minimum amount of stimulation needed to
arouse the child
highest score of GCS 15
can GCS score change? yes because brain injuries are unpredictable
glasgow coma scale
TBI hospital-based nursing care maintain
monitor
administer
Solutions
Save
Terms in this set (264)
Eliciting a pediatric neurological exam history
includes assessing mental status
speech
visual
CN
cranium/skull
motor and sensory
reflex testing (DTRs)
glasgow coma scale (GCS if indicated)
health promotion on TBI Health promotion for TBI in pediatrics focuses on
injury prevention through proper car seat and
seatbelt use, helmet use during sports and
recreational activities, fall prevention strategies,
caregiver education to prevent shaken baby
syndrome, and early recognition of concussion
symptoms. Education of parents and coaches is
essential because TBI is a leading cause of
preventable death in children.
non-accidental TBI: shaken baby leading cause of child abuse deaths in kids <5
syndrome infants have greates risk of shaken baby syndrome -
crying
is shaken baby syndrome yes it is preventable through education
preventable?
,what are long term effects in shaken vision problems, developmental delays, physical
baby syndrome? disabilities, and hearing loss
**crossed eyes, shaken baby brain moves around
(forward/back) creates damaged in vessels in the
back
A nurse is caring for a school-age ability to speak
child who has trauma to the left frontal
lobe. Which of the following functions
should the nurse anticipate to be
altered because of the trauma?
Vision
Ability to read
Ability to speak
Hearing
classification of TBI primary or secondary
TBI can occur after blow or jolt to the head
TBI can be accidental or nonaccidental
how should we assess TBI assess GSC score and observe for posturing
(decorticate vs decerebrate)
decorticate
decerebrate
what labs should we monitor when electrolyte abnormalities
peds have TBI?
,Which age group has the highest risk toddlers and infants!!
of having a traumatic brain injury? toddlers is due to head is very disproportionate for
bodies, can get a concussion because still learning
how to walk
infants is due to skull's still have soft spots, brains
more exposed, no control of head, dropped by
someone, people will get frustrated, shaken baby
early signs of TBI Photophobia
Nausea and vomiting
Headaches
Vertigo
Irritability
Lethargy
Poor feeding (in an infant)
Amnesia and/or confusion
Apnea (especially in an infant)
Altered level of consciousness (from mild to coma)
Leakage of CSF from the ears or nose
what is most common sign of TBI n/v
h/a
if there is a sign of leakage coming super bad
from child noise what would that be a leakage could be CSF
sign of?
late signs of TBI increased ICP
hydrocephalus
seizure activity
posturing - decrebrate, decorticate
unequla or nonreactive pupils
ecchymosis around the eyes or the mastoid
diminished reflexes or return of primitive reflexes
babinski
coma
, what are signs of increased ICP high BP
low HR
low RESP
cushing's triad
ecchymosis bruising
if babinski sign returns that is a very bad sign infantile reflexes
hydrocephalus is increased fluid and pressure
which one is worst decerebrate or decerebrate
decorticate
Which age group has the highest adolescents
prevalence of traumatic brain injury?
GCS determines classification of TBI
why is classification of TBI important? it provides guidance regarding tx and nurisng care. in
addition it assess the LOC of the child, taking care to
use the minimum amount of stimulation needed to
arouse the child
highest score of GCS 15
can GCS score change? yes because brain injuries are unpredictable
glasgow coma scale
TBI hospital-based nursing care maintain
monitor
administer
