NURS 2356: Neurologic Disorders in Pediatrics Exam Questions with Correct Answers

Define Coup Correct Answer acceleration injury from initial impact, bruising at the point on impact Define countrecoup Correct Answer counter or deceleration injury, backward movement causes the brain to strike part of the skull, bruise at a distance far removed from the point of impact What vital function does the brainstem control Correct Answer Respirations What are the three things that can result in increased ICP Correct Answer Change in the mass of the brain (tumor), increased amount of the CSF (dec absorption, inc production), and hemorrhage What are the s/s of increased ICP in infants? Correct Answer tense, bulging fontanel; lack of normal pulsations, increased head circumference, changes in appetite (poor feeding & vomiting) and behavior, high-pitched cry, inc or dec response to pain, sunset eyes, distended scalp veins What are s/s of increased ICP in children Correct Answer complaints of subjective sx: HA, N/V esp in AM, diplopia, mood swings, slurred speech s/s of increased ICP in general Correct Answer HA, vomiting, lethargy or irritability, vision changes, decreased or change LOC Cause of Subdural hematoma's Correct Answer ruptured cortical vein from either child abuse (shaken baby), falls, or birth trauma Since a subdural hematoma is caused by the rupture of a ___ the onset/progression of sx is ____ Correct Answer vein, slow Cause of Epidural hematoma's Correct Answer rupture of middle meningial artery caused by an injury to the temporal region of the skull Since an epidural hematoma is caused by the rupture an _____ the onset of sx will be ____, and therefore intervention will need to be ____ Correct Answer artery, fast, prompt