Cerebral/Sensory Dysfunction

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  1. What could these signs indicate:

    - Hypothermia
    - Hypoglycemia
    - Poor feeding
    - Listlessness
    - Irritability
    Sepsis
  2. What is the common med tx of RDS and its basic cause?
    Betamethasone: basic cause if lack of surfactant
  3. What is the tx for shock, pallor, or hemorrhage in LBP following delivery?
    Volume expanders of 10 ml/kg
  4. This results in PDA and the foramen ovale to reopen in the preemie
    Hypoxia leading to shunting of blood and persistent fetal circulation
  5. What is cephalocaudal?
    Intensity and progression of jaundice
  6. What can these s/s indicate:
    - hypoxia
    - Low APGAR
    - staining of skin
    - rales/rhonci
    MAS (meconium aspiration syndrome)
  7. What could a hematocrit of 68% indicate in a newborn?
    RDS and a risk for jaundice
  8. Fill in:
    Infants have __a__mL of CSF, while adults have 150mL
    a. 50mL
  9. Fill in: 
    Average head circumference @ birth __a__ cm, __b__ @ 6 months,  and __c__ cm @12months
    • a. 34-35
    • b. 44
    • c. 47
  10. This a rare condition, in which a baby develops or is born with an abnormally shaped skull. It happens when one or more of the infant's cranial sutures fuses too early. What is the tx?
    Craniosynostosis: tx if cranectomy, which opens the sutures that already opened
  11. T or F: newborns can follow moving objects and recognize familiar objects
    False: they can folow to midline only and fixate, and only focus on faces about 12 inches away
  12. State the ages f these visual acuity changes

    1. 20/20-20/30
    2. 20/40-20/70
    3. 20/30-20/40
    4. 20/50-20/80
    • 1. 5 years
    • 2. 1 year
    • 3. 4 years
    • 4. 4 months
  13. Fill in: Lacrimal ducts function by about __a__ months. They may not have tears til about __b__ months
    A & B: 3 months
  14. Fill in:
    Eye orbits double at _a_ year(s) and double again at __b__ years. 

    Eye growth will be complete by __c_ years
    • a. 1 
    • b. 6
    • c. 12
  15. Fill in:
    Ears are developed by __a__ week(s), and hearing in the __b__ trimester.
    • a. 3rd week
    • b. 2nd trimester
  16. Infants will distinguish familiar sounds by __a__ days old.
    3 days
  17. T or F: Babies will try to "talk back" with syllables by 3 - 5 months old.
    • False: they imitate between 3-5 months old
    • At 6-9 months, they "talk back" with syllables
  18. Parents of a 4 yo child are concerned of his stutter. Which of the following interventions are correct?

    A. remind parents stuttering is normal if <10 yo
    B. reinforce the fact that this common speech defect requires no tx
    C. tell parents speech problems are most treatable during child's teen years
    D. inform parents to have a speech eval performed if it continues >5yo
    D.
    (this multiple choice question has been scrambled)
  19. This is the medical term used when the vision of one eye is reduced because it fails to work properly with the brain. The eye itself looks normal, but for various reasons the brain favors the other eye. This condition is also sometimes called lazy eye.
    Amblyopia
  20. T or F: Ambylopia is a visual problem in which the eyes are not aligned properly and point in different directions. One eye may look straight ahead, while the other eye turns inward, outward, upward, or downward.
    False: that is Strabismus

    Amblyopia is the medical term used when the vision of one eye is reduced because it fails to work properly with the brain. The eye itself looks normal, but for various reasons the brain favors the other eye. This condition is also sometimes called lazy eye.
  21. Match tx:

    1. Amblyopia
    2. Strabismus

    a. Patching
    b. Eye exercise, corrective lenses, sugery
    • 1. a
    • 2. b
  22. Match:

    1. Unable to recognize person/place
    2. Unable to think clearly/rapidly
    3. awakens easily, limited response
    4. sleeps unless aroused, limited interaction with environment
    5. considerable stimulation to arouse

    a. conused
    b. stupor
    c. obtunded
    d. Disoriented
    e. lethargic
    • 1. d - disoriented
    • 2. a - confused
    • 3. e - lethargic
    • 4. c - obtunded
    • 5. b - stupor
  23. Spina Bifida is strongly linked to this
    Folic acid deficiency
  24. Match name from left to right:
    spina-bifida-types
    a. Meningocele
    b. Myelomeningocele
    c. Occulta
    • Left: c
    • Middle: a
    • Right: b
  25. T or F: an Occulta and Cystica(Spina Bifida) may have no sensory/motor deficits
    False: level of involveent determines the deficits
  26. What deficits can occur in the location of the Cystica (Spina Bifida)

    1. T12
    2. L1-3
    • 1. flaccid LE, incontinent
    • 2. Hip adduction
  27. Which dz can have a HIGH risk for dveloping allergy to latex r/t exposure to catheterizations/surgeries
    Spina Bifida
  28. Fill in:
    For Spina Bifida Management, antenatal surgery can be performed at __a__ weeks to close the myelomeingocele
    a. 19-25 weeks
  29. This is a condition that occurs when fluid (CSF) builds up in the skull and causes the brain to swell. The name means “water on the brain.” Brain damage can occur as a result of the fluid buildup.
    Hydrocephalus
  30. T or F: Post-op car for VP shunt includes pt. needs to stay supine or flat for the first 24 hours
    True
  31. What do these s/s indicate
    - Chronic, nonprogressive disorder of posture and movement
    - diffulcty controlling muscles
    Cerebral Palsy
  32. Match these types of Cerebral Palsy:

    1. slow, writhing involuntary movement of all extremities
    2. Increased DTR, hypertonia, contractures
    3. appearing clumsy
    4. tremors at rest and with movement

    a. Ataxic
    b. Spastic
    c. Rigid
    d. Dyskinetic

    Which one is the most common and which one is rare?
    • 1. d
    • 2. b
    • 3. a
    • 4. c

    • Common: Spastic
    • Rare: Rigid
  33. This is a condition that occurs when fluid builds up in the skull and causes the brain to swell. The name means “water on the brain.” Brain damage can occur as a result of the fluid buildup. What is this and how long is considered an emergency?
    Status epilepticus: >30 min = pediatric emergency
  34. 95% of meningitis are from 3 bacterial pathogens that start at these localized infection sites.
    • 1. Otitis media
    • 2. Sinusitis
    • 3. PNA
  35. What are the 2neonatal cause of meningitis?
    Group B strep. and E. Coli
  36. T or F: Meningitis requires contact precautions

    How long will they be on these precautions for?
    False: Droplet 

    24 hours after abx
  37. This term is food poisoning caused by clostridium toxin, from improperly sterilized canned foods, r hone in infants. What are its s/s?
    Botulism: 12-36 hours after ingestion = weakness, vomiting, resp. weakness, decreased gag

Card Set Information

Author:
edeleon
ID:
334684
Filename:
Cerebral/Sensory Dysfunction
Updated:
2017-09-30 23:06:21
Tags:
cerebral sensory dysfunction nursing pediatric
Folders:
MCN Exam 3
Description:
Exam 3 Lecture notes
Show Answers:

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