NUR 438 W9M5 Child with Cerebral Dysfunction and Neurological Diseases what are some differences in fetal brain development? - Correct Answers ✅FetalNervous system grows more before birth with brain and spinal cord as one of the first recognizable organs Brain and spinal cord developed early but last to finish significant development after birth what are some differences in pediatric brain structure from adults? - Correct Answers ✅Sulci development continues until childhood as the cortex will thicken what are some differences in pediatric nerve structure from adults? - Correct Answers ✅Reflexes at birth are primitive and disappear with cortical control with myelination of the sheath in a cephalocaudal (head to toe) and proximodistal (near to far).Myelination is important to increase the rate of impulse and control direction.Persistence of primitive reflexes indicate defect in cortical development.Continuum of development with sensory preceding motor what does the neurological assessment for pediatrics consist of? - Correct Answers ✅History (neurological baseline seizures (type, description, and occurrence) question recent fall, febrile illness, contact with animal/insects, or ingestion 1 / 3
NUR 438 W9M5 Child with Cerebral Dysfunction and Neurological Diseases Vital Signs (RR w/ pattern, BP, Temp) question hypothalamus injury Cushing triad= decreased HR, increased BP, and periodic breathing Pupils (Size, Reactivity, and equality, fixed) Corneal Test, Dolle's eyes Muscle (Note presence and equality in the extremities, 5 point scale) Decorticate, Decerebrate posturing what are some diagnostic tests for neurological disorders in pediatrics? - Correct Answers ✅Lumbar Puncture (LP) Computer Tomography (CT) Magnetic Resonance Imaging (MRI) Electroencephalography (EEG) what is a Lumbar Puncture? - Correct Answers ✅Sample of CSF from lumber spinal cord to test for infection what is a CT? - Correct Answers ✅looks at the brain on 3 planes can distinguish edema, hemorrhage, tumors and calcifications, and inflammatory processes through the use of X-ray 2 / 3
NUR 438 W9M5 Child with Cerebral Dysfunction and Neurological Diseases what is a MRI? - Correct Answers ✅can promote enhanced visualization of cerebral blood flow or structures and is noninvasive procedure except when IV contrast is used no radiation exposure what is an EEG? - Correct Answers ✅detects spikes or bursts of electrical activity that indicate the potential for seizures may need 24 hour video EEG to capture a seizure what are some general complications from neurological disorders related to immobility and musculoskeletal conditions? - Correct Answers ✅Musculoskeletal Pain Cardiovascular Respiratory GI/GU Skin Nutrition/Metabolic Depression Anxiety Fear Altered development Altered body image
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