Cognitive Disorders
Spina Bifida
Meningitis
Seizures
General Information
100
Name 2 priority nursing dx when caring for a child with a seizure disorder
What are Risk for injury and Risk for ineffective airway clearance?
100
Another name for spina bifida
What is mylomeningocele or neural tube defect?
100
The most common causative agent for meningitis now
What is Neisseria Meningitis?
100
A chronic disorder characterized by recurrent, unprovoked seizures secondary to an underlying brain abnormality
What is Epilepsy?
100
changes in LOC, headache, vomiting;; pupils sluggish, unequal, or not reactive to light and accommodation
What are important signs/symptoms of increased ICP
200
Hyperactivity, impulsiveness, or inattention that is observed more frequently than in other children at the same developmental level
What is Attention Deficit Hyperactivity Disorder?
200
How do you treat hydrocephalus?
What is placement of a AV shunt? A tube that is inserted in surgery from the ventricles to the abdomen to drain the excess fluid in the ventricles.
200
Name four common clinical manifestations that you may see in a child with meningitis
What are headache, vomiting, fever and chills, nuchal rigidity, Brudzinski's and Kernig's signs?
200
High fat, low carbs, proteins adequate for growth; used for children who have intractable seizures
What is a Ketogenic diet?
200
Name two posturing positions that are indicative of increased ICP. Of the two, which is worse?
What is decorticate and decerebrate?
300
Persistant pattern of tantrums, arguing, and angry or disruptive behaviors toward you and other authoritive figures
What are Oppostional Defiance disorders?
300
What is often the result of closure of a baby's back wound
What is hydrocephalus, meningitis, Chiari malformation, or tethered spinal cord as they grow older?
300
Name three late signs of meningitis
What are cerebral edema, seizures, apnea?
300
dyslipidemia, kidney stones, constipation, slowing of growth
What are the adverse effects of the Ketogenic diet?
300
A deep unconsciousness from which the child can not be aroused-even by painful stimulation
What is a coma?
400
Name 3 common associated disorders/diseases that are more common in patients with Trisomy 21?
What are Leukemia, CHD, Alzheimers, and learning disabilities?
400
Name four associated problems that can affect patients with spina bifida
What are clubfeet, hip dysplasia, hydocephalus, kidney and urine reflex, urine and stool incontinence, mobility issues, skin breakdown, scoliosis, learning disabilities, and meningitis?
400
The most definitive test done to diagnose meningitis
What is a Lumbar Puncture?
400
periods of abnormal electrical activity in the brain causing involuntary movement or behavior/sensory alterations
What is a seizure?
400
Disorientation to time, place, or person. Loss of clear thinking. May answer simple questions correctly but inaccurately responds to complex questions.
What is disorientation?
500
Name 5 clinical manifestations that are characteristic of a child with autism
What is FTT, does not relate well to others, poor eye contact, repetitive motions, speech and language delays, needs strict routines, and learning disabilities?
500
Name four nursing diagnosis that could be used for 2 day old spina bifida infant getting ready to go to the OR to have a closure of the back wound?
What are knowledge deficit, Risk for infection, alternation in nutrition, Fluid volume deficit, Risk for injury, Risk for parent-infant attachment,
500
Name three nursing diagnosis that you could use while caring for a child with meningitis
What are impaired gas exchange r/t decreased LOC, Risk for injury, Acute pain, Risk for altered family processes, Risk for infection (spread to family members, staff, patients),
500
One reason you would instruct a parent to administer Tylenol prior to the child receiving immunizations.
What is a history of having febrile seizures?
500
1.Eye opening-spontaneous or as a reaction to stimuli 2.Verbal response-normal behavior for child 3.Motor response- movement of extremities or reflexes
What are three responses that are used to assess a patient using the Glasgow Coma Scale?