NUR 438 Neuro Play Posit Questions with Complete Solutions (Latest 2025)
pediatric differences: fetal - Correct Answers ✅brain and
spinal cord developed early (one of first recognizable organs) but are the last to finish (significant development after birth)
pediatric differences: brain - Correct Answers ✅sulcci
development continues until childhood as the cortex will thicken
pediatric differences: nerves - Correct Answers ✅- reflexes
at birth are primitive and disappear with cortical control
(myelination of sheath -> cephalocaudal: head to toe; and
proximodistal: near to far)
- myelination increases rate of impulse and controls direction
- continuum of development with sensory preceding motor
- persistence of primitive reflexes indicate defect in cortical
development
neuro assessment: hx - Correct Answers ✅- hx including
neurological baseline
- seizures: type, description, occurrences
- inquire about:
- recent fall
- febrile illness
- contact with animal/ insects 1 / 2
NUR 438 Neuro Play Posit Questions with Complete Solutions (Latest 2025)
neuro assessment: VS - Correct Answers ✅- irregular
breathing is a sign of medullary dysfunction
- BP last to change (hypotension concerning)
- temp elevated with infection, ingestion, intracranial bleed,
hypothalamus injury
- Cushing triad:
- decreased HR
- increased BP
- periodic breathing
neuro assessment: pupils - Correct Answers ✅* size,
reactivity, and equality; if abnormal can tell you level of injury
- fixed pupil: lesion on same side
- non-reaction: hypothermia, ischemia, drugs
- pinpoint: injury to pons or opioids
- corneal test looks for CN V damage
neuro assessment: muscle - Correct Answers ✅- note
presence and equality in the extremities (5 point scale)
- decorticate posturing: pulling toward the core
- decerebrate: away from the core
note on pediatric A&O - Correct Answers ✅* won't be A&OX4 until little older
- / 2