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Comprehensive Exam
GCS- Eye, Verbal, Motor
Cranial Nerves
Terms
Reflexes
100
First area assessed, includes speech stimulus
What is LOC
100
Response to speech
What is eye-opening
100
Transmits the sense of smell
What is I (Olfactory)
100
Awake, alert, oriented, interacts with environment
What is full consciousness
100
Movements of the lips of an infant elicited by touching the lips or the skin near the mouth
What is sucking
200
Second area assessed, includes mental status
What is cerebral function
200
Inappropriate word use
What is verbal response
200
Transmits visual information to the brain
What is II (optic)
200
Lacks ability to think clearly and rapidly
What is confused
200
Automatically turn the face toward the stimulus and make sucking motions with the mouth when the cheek or lip is touched; helps to ensure successful breastfeeding.
What is rooting
300
Third area assessed, includes 12 of these
What is cranial nerves
300
Obeys commands
What is motor response
300
Provides motor innervation to the muscles of facial expression
What is VII (facial)
300
Lacks ability to recognize place or person
What is disoriented
300
A series of step-like motions of an infant's legs when the infant is held under the arms and with the feet in contact with a surface. This reflex disappears at approximately 4 to 8 weeks of age.
What is walking
400
Fifth area assessed, includes movement
What is motor system
400
Incomprehensible sounds
What is verbal response
400
Innervates eye muscles
What is III (oculomotor)
400
Awakens easily but exhibits limited responsiveness
What is lethargic
400
Flexion followed by extension of the leg when the infant is held erect and the dorsum of the foot is drawn along the under edge of a table top; it is obtainable in the normal infant up to the age of six weeks.
What is placing
500
Last area assessed, includes walking and placing
What is reflex status
500
No response
What is eye-opening, verbal and motor response
500
Innervates the superior oblique muscles
What is IV (trochlear)
500
Sleeps unless aroused; once aroused has limited interaction with the environment
What is obtunded
500
This reflex is activated as a result of turning the head to one side. As the head is turned, the arm and leg on the same side will extend, while the opposite limbs bend. The reflex should be inhibited by six months of age in the waking state.
What is asymmetrical tonic neck