NEUROSENSORY

S/S

100

inability to maintain eye contact, failure to interact socially, failure to walk at a certain age(12 months) no social smile by 3 months

Autism signs

200

Bulging fontanels, separate sutured lines, shrill cry, lethargy

ICP Signs and symptoms

300

TRISOMY 21, flat nasal bridge, low-setting ears, slanted eyes, hypotonicity(poor muscle tone), hyper flexibility(flexible can injure self), protruding tone, low birth weight, short stature

Down syndrome

400

impulsiveness, distractibility, inability to focus sometimes daydreaming

ADHD - ATTENTION DEFICIT HYPERACTIVITY DISORDER

500

stiff neck(nuchal rigidity)headache, photophobia

Meningitis

1

100

When should you call CPS?

Parents do not allow you to talk to kids.

Parents do not follow plan of care

Injury do not match story (change)

Inappropriate response from child

The child story doesn't match

200

Management for ICP

HOB 15- 30 degree, Mannitol, ICP MONITORING

CLUSTER CARE

STRICT I/O

DIM LIT/QUIET

300

NURSING CARE OF AN UNCONSCIOUS

- PUT THEM ON THE SIDE(PREVENTION OF ASPIRATION)

FREQUENT NEURO ASSESSMENT (EVERY 2-4 HRS)

KEEP THEM AWAKE (MONITOR)

QUIET DIM LIT ENVIRONMENT

PROPER POSTIONING

400

How do you know ICP treatment is working?

ICP decreases, head circumference goes down, they are alert more, fontanelle is not bulging, no shrill cry

500

Priority for Meningitis?

*1)Droplet precaution(isolation), 2)get labs done(blood work) 3)hang antibiotics

WHAT IS IT?

100

People that live in a lot of crowded places, dorms, colleges, jails should?

Be recommended to get a booster, and need to have their immunizations up to date.

200

You don't give aspirin when a child has these two viral illnesses

Flu(influenza) and chickenpox(varicella)

300

DECORTICATE?

Rigid flexion with arms held tightly to body legs extended and rotated inward (HANDS HOLD TOGETHER LOOKS LIKE A FUNERAL CASKET)

400

DECEREBRATE?

WORSER- RIGID EXTENSION AND PRONATION OF ARMS AND LEGS

500

What causes malfunction of the shunt when a child has Hydrocephalus?

- infection(increased temputure), trauma, constipation

RICH NURSE

100

head enlargement, prominent scalp veins, bulging fontanel, needs a VP shunt to remove CSF, ICP is high

Hydrocephalus

200

These kids will die, with gradual muscle weakness, and atrophy its from recessive traits(genes), Gower sign(they get up in sessions)

Muscular Dystrophy

300

TEN-4 RULE?

TORSA

EARS

NECK  

Age under 4 years old or 4 months old with ANY signs of bruising

400

Early signs of CEREBRAL PALSY?

Persistent primitive reflexes, stiff rigid posture, arching back pushing away, floppy tone, unable to sit unsupported by 8 months, no smile at 3 months, feeding difficulties

500

God will allow me to pass my exam

Yes

2

100

Proper position for unconscious patient?

Side-lying position

200

Child has a minor head injury what should parents do?

Keep them up for 6 hours and monitor them

300

Priority Action for submersion injury patients

Give them Oxygen

400

BEST WAY TO EXAMINE AN UNCONSCIOUS CHILD?

PERLAA

- EYE SHOULD CONSTRICT WHEN LIGHT IS SHINE

- EYE SHOULD DIALATE WHEN YOU MOVE LIGHT AWAY

500

What is our concern for patient who has ADHD 

Safety Measures due to impulsiveness