Nurs 611 Final Exam Study Guide

Nurs 611 Final Exam Study Guide 26. Straight leg raise: supine patient lift up leg as far as can go, should be able to go 70 degrees without significant radiating pain (some gluteal discomfort or hamstring tightness isokay) + if sharp shooting pain up back of leg, sciatica, lumbar root nerve cmopromise 27. Red flags of neck pain: Nuchal rigidity Recent trauma Weakness of extremities 28. Pes planus: Flat foot, normal 3 years 29. Genu varum: Bow legged normal 18 months 30. Genu valgum: knock knees, normal age 3-5 but should correct by 9 31. What is the risk of caffeine intake in the pediatric patient?: diminished calcium absorption and delayed bone growth 32. When is the Barlow Ortolani manuever performed?: 1st 12 weeks 1st year if breach 33. Gower's sign: Difficulty rising to standing position; has to walk up legsusing hands; occurs in Muscular dystrophy 34. hip dysplasia: abnormal development of the pelvic joint causing the head of the femur and the acetabulum not to be aligned properly subluxation-partial contact dislocation-no contact 35. Galeazzi test: It is performed by flexing an infant's knees when they are lying down so that the feet touch the surface and the ankles touch the buttocks. *If the knees are not level then the test is positive*, indicating a potential congenital hip malformation. fingers placing anterior pressure on the greater trochanters, abducting the infant's legs using the examiner's thumbs. 37. talipes equinovarus: clubfoot requires surgical intervention, must refer 38. polydactyl: more fingers and toes than normal 39. syndactyly: fusion of digits 40. Nursemaid's elbow: radial head subluxation common frmo swinging child 41. How to assess for scoliosis: 1. Assess the patient standing for symmetry of shoulders, scapula, and hips. Uneven shoulder height or hips as well as a curved spine are indicative. 2. Have child bend forward with knees straight and head hanging straight down between extended arms (Adams forward bend test) and evaluate for asymmetry. Can use a scliometer to test for degree. 42. When is a sacral dimple concerning?: if + with discoloration, tuft of hair, or skin tag needs imaging, US if 6mo, MRI if 6mo could indicate spina bifida or tethered cord 43. What are the components of a motor exam?: bulk, tone, involuntary move- ments 44. Cranial Nerves: I: olfactory II: optic III: oculomotor IV: trochlear V: trigeminal VI: abducens VII: facial VIII: vestibulocochlear IX: glossopharyngeal X: vagus XI: accessory spinal