NNP 2 QUIZ 3 (2025)
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Terms in this set (83)
, 4 months of age; A brachial plexus
injury occurs when there is
mechanical trauma to the spinal roots
of the 5th cervical through the 1st
thoracic nerves. The injury results in
paralysis, with the precise location
dependent on the spinal nerve roots
damaged. It typically occurs due to
birth trauma or in utero position
Surgical
secondary to compression force on
intervention for
the fetal arms and thorax. The most
brachial plexus
common type is Ducehnne-Erb
injury is best
paralysis, which causes upper arm
done at which
paralysis. Klumpke paralysis involves
age?
the lower arm. Entire arm paralysis
can also occur. Infants with brachial
plexus injury are initially treated
conservatively and are monitored
monthly. However, if surgical
intervention is determined to be
necessary it should be done around
four months of age, as the success
rate decreases over time
, Interictal EEG pattern; The interictal
The best
EEG patterns seen in-between
predictors of
seizures can be highly predictive of
outcome from
outcome. Major background
neonatal seizures
abnormalities like burst suppression
include
are highly predictive of poor
underlying
outcome, especially if present on
etiology,
serial studies. Abnormal EEG patterns
gestational age
during seizures alone are not as
and:
accurate at predicting outcome.
Phasic tone; Part of a thorough
neurologic exam is evaluation of tone
through examining resting posture,
passive tone and active tone.
Examining phasic tone by performing
In the neurologic
the scarf sign and deep tendon
portion of the
reflexes provides information on
neonatal physical
passive tone and tests the resistance
exam, assessment
of the upper extremities to movement.
of the scarf sign
Postural tone is tested by response to
is used in
traction (pull-to-sit maneuver). An
evaluating:
acutely encephalopathic infant often
has poor tone and absent reflexes
initially, which then improves. Later it
can become increased or significantly
exaggerated.
, 24 months; normal newborn findings
include an open, soft and flat anterior
The anterior fontanel. Bulging may indicate
fontanel normally increased intracranial pressure.
closes by what Depression may be indicative of
age? dehydration. The anterior fontanel
normally closes at 6-24 months of
age.
30-60 minutes before a feeding; The
infant's state is important in
performing a neurologic exam, with
the quiet alert state optimal for the
The optimal time exam. Timing the exam to 30-60
to perform a minutes before an exam may increase
neurological the chance of the infant being in a
assessment of a quiet alert state. Note that the
32 week GA premature infant does not have
infant is: predictable sleep-awake cycles prior
to 28 weeks. Sleep-wake cycles
become more apparent from 28
weeks on, with clear sleep-awake
cycles by 32 weeks.
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS (recently
testing real exam questions)|GET IT
100% ACCURATE!!
Save
Terms in this set (83)
, 4 months of age; A brachial plexus
injury occurs when there is
mechanical trauma to the spinal roots
of the 5th cervical through the 1st
thoracic nerves. The injury results in
paralysis, with the precise location
dependent on the spinal nerve roots
damaged. It typically occurs due to
birth trauma or in utero position
Surgical
secondary to compression force on
intervention for
the fetal arms and thorax. The most
brachial plexus
common type is Ducehnne-Erb
injury is best
paralysis, which causes upper arm
done at which
paralysis. Klumpke paralysis involves
age?
the lower arm. Entire arm paralysis
can also occur. Infants with brachial
plexus injury are initially treated
conservatively and are monitored
monthly. However, if surgical
intervention is determined to be
necessary it should be done around
four months of age, as the success
rate decreases over time
, Interictal EEG pattern; The interictal
The best
EEG patterns seen in-between
predictors of
seizures can be highly predictive of
outcome from
outcome. Major background
neonatal seizures
abnormalities like burst suppression
include
are highly predictive of poor
underlying
outcome, especially if present on
etiology,
serial studies. Abnormal EEG patterns
gestational age
during seizures alone are not as
and:
accurate at predicting outcome.
Phasic tone; Part of a thorough
neurologic exam is evaluation of tone
through examining resting posture,
passive tone and active tone.
Examining phasic tone by performing
In the neurologic
the scarf sign and deep tendon
portion of the
reflexes provides information on
neonatal physical
passive tone and tests the resistance
exam, assessment
of the upper extremities to movement.
of the scarf sign
Postural tone is tested by response to
is used in
traction (pull-to-sit maneuver). An
evaluating:
acutely encephalopathic infant often
has poor tone and absent reflexes
initially, which then improves. Later it
can become increased or significantly
exaggerated.
, 24 months; normal newborn findings
include an open, soft and flat anterior
The anterior fontanel. Bulging may indicate
fontanel normally increased intracranial pressure.
closes by what Depression may be indicative of
age? dehydration. The anterior fontanel
normally closes at 6-24 months of
age.
30-60 minutes before a feeding; The
infant's state is important in
performing a neurologic exam, with
the quiet alert state optimal for the
The optimal time exam. Timing the exam to 30-60
to perform a minutes before an exam may increase
neurological the chance of the infant being in a
assessment of a quiet alert state. Note that the
32 week GA premature infant does not have
infant is: predictable sleep-awake cycles prior
to 28 weeks. Sleep-wake cycles
become more apparent from 28
weeks on, with clear sleep-awake
cycles by 32 weeks.
