NUR 414 EXAM 3 (NEURO AND CRANIAL)
Is brain development complete when a baby is bron - Answers - no
Why do we get head circumferences on baby - Answers - because their head and
brain is still growing
What are open in babies head to support growth - Answers - fontanels
A newborns cerebral blod flow and oxygen consumption is _____ that of an adults -
Answers - twice
Does neuromotor function follow the cephalocaudal and proximodistal sequence -
Answers - yes
Cephalocaudal - Answers - head to toe
Proximodistal - Answers - near to far
How often should infants have wet diapers - Answers - 8x a day... Every time that they
feed
Neuro exam assessment on newborn - Answers - head
Activity strength and coordination (gait)
Reflex activity (if they should be present)
Sensory responses
Alertness/behacior
Vital signs
Skin
Eyes (PERRL)
Posturing
HR does what with ICP - Answers - decreases
What vital signs are important for neuro function - Answers - decreased HR and temp
Early signs of increased ICP - Answers - HA
Vomiting
Dizziness
Blurred vision / double vision (diplopia)
Decreased pulse and RR
Increased BP
Pupil reaction decreases
Sunset eyes
Changes in LOC
Seizure
, Early signs of increased ICP in infants - Answers - bulging and tense fontanels
Wide sutures and increased head circumference
Dilated scalp veins
High-pitched cry
Late signs of increased ICP - Answers - lowered LOC
Decreased motor and sensory responses
Bradycardia
Irregular respirations
Cheyne stokes respirations
Decerebrate / decorticate
Fixed and dilated pupils
Cheyne stokes - Answers - abnormal breathing pattern; periods of dyspnea and apnea
Cushings triad - Answers - three classic signs—bradycardia, hypertension, and
bradypnea—seen with pressure on the medulla as a result of brain stem herniation
Lack of response to pain is - Answers - very concerning
Scores on pediatric glasgow coma scale - Answers - the lower the # thw rose they are
Pediatric glasgow coma scale may not be accurate in who - Answers - devo kids
What looks at inflammation in the body - Answers - c reactive protein
Categories on pediatric glasgow coma scale - Answers - eye opening
Motor response
Auditory / verbal stimulus
Lab tests for neuro issues - Answers - glucose
CBC
Electrolytes
Blood cultures
Liver function
Imaging for neuro issues - Answers - CT
MRI
US
Nuclear brain scan
PET
What does an x-ray rule out - Answers - skull fractures / dislocations
EVD - Answers - extroventricular drain
Is brain development complete when a baby is bron - Answers - no
Why do we get head circumferences on baby - Answers - because their head and
brain is still growing
What are open in babies head to support growth - Answers - fontanels
A newborns cerebral blod flow and oxygen consumption is _____ that of an adults -
Answers - twice
Does neuromotor function follow the cephalocaudal and proximodistal sequence -
Answers - yes
Cephalocaudal - Answers - head to toe
Proximodistal - Answers - near to far
How often should infants have wet diapers - Answers - 8x a day... Every time that they
feed
Neuro exam assessment on newborn - Answers - head
Activity strength and coordination (gait)
Reflex activity (if they should be present)
Sensory responses
Alertness/behacior
Vital signs
Skin
Eyes (PERRL)
Posturing
HR does what with ICP - Answers - decreases
What vital signs are important for neuro function - Answers - decreased HR and temp
Early signs of increased ICP - Answers - HA
Vomiting
Dizziness
Blurred vision / double vision (diplopia)
Decreased pulse and RR
Increased BP
Pupil reaction decreases
Sunset eyes
Changes in LOC
Seizure
, Early signs of increased ICP in infants - Answers - bulging and tense fontanels
Wide sutures and increased head circumference
Dilated scalp veins
High-pitched cry
Late signs of increased ICP - Answers - lowered LOC
Decreased motor and sensory responses
Bradycardia
Irregular respirations
Cheyne stokes respirations
Decerebrate / decorticate
Fixed and dilated pupils
Cheyne stokes - Answers - abnormal breathing pattern; periods of dyspnea and apnea
Cushings triad - Answers - three classic signs—bradycardia, hypertension, and
bradypnea—seen with pressure on the medulla as a result of brain stem herniation
Lack of response to pain is - Answers - very concerning
Scores on pediatric glasgow coma scale - Answers - the lower the # thw rose they are
Pediatric glasgow coma scale may not be accurate in who - Answers - devo kids
What looks at inflammation in the body - Answers - c reactive protein
Categories on pediatric glasgow coma scale - Answers - eye opening
Motor response
Auditory / verbal stimulus
Lab tests for neuro issues - Answers - glucose
CBC
Electrolytes
Blood cultures
Liver function
Imaging for neuro issues - Answers - CT
MRI
US
Nuclear brain scan
PET
What does an x-ray rule out - Answers - skull fractures / dislocations
EVD - Answers - extroventricular drain
