The Child with a Sensory or Neurological Condition

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Questions and Answers

Which of the following components does the nervous system include?

  • Kidneys and liver
  • Brain and spinal cord (correct)
  • Heart and lungs
  • Muscles and joints

What is the primary focus of the lesson regarding children with sensory or neurological conditions?

  • To provide safe and effective nursing care (correct)
  • To compare adult and child conditions
  • To minimize interaction with families
  • To analyze medical histories only

In a clinical environment, what is required of students by the end of the lesson?

  • Administer medication independently
  • Demonstrate equipment handling skills
  • Conduct patient interviews exclusively
  • Perform nursing care without causing harm (correct)

What is a common impact of sensory or neurological disorders on children?

<p>Direct effect on overall development (D)</p> Signup and view all the answers

What is the role of the spinal cord within the nervous system?

<p>To connect the brain to the body through nerves (A)</p> Signup and view all the answers

What can increase the risk of trips and falls in the workplace?

<p>Excessive electrical and communication cords (D)</p> Signup and view all the answers

Which of the following is a cause of eye strain in a workplace setting?

<p>Poor lighting conditions (D)</p> Signup and view all the answers

What is a common method for evaluating cognitive learning objectives?

<p>Written examinations (B)</p> Signup and view all the answers

What should be done to the pinna when instilling ear drops in infants?

<p>Pull it down and back (C)</p> Signup and view all the answers

Which of the following conditions is characterized by pain and tenderness in the external ear canal?

<p>Otitis Externa (D)</p> Signup and view all the answers

What is a function of the eustachian tube?

<p>Equalizes air pressure (C)</p> Signup and view all the answers

Which factor contributes to the higher propensity for ear infections in infants and toddlers?

<p>Wider eustachian tubes (C)</p> Signup and view all the answers

What is NOT a common sign of an ear infection in infants?

<p>Increased appetite (B)</p> Signup and view all the answers

What is a potential consequence of chronic ear infections in children?

<p>Hearing loss (B)</p> Signup and view all the answers

What is the first-line therapy for treating ear infections in children?

<p>Oral amoxicillin (B)</p> Signup and view all the answers

When should routine hearing screening be performed on newborns?

<p>At birth or before 3 months of age (D)</p> Signup and view all the answers

Which method is NOT typically used to diagnose hearing loss in children?

<p>Blood test (D)</p> Signup and view all the answers

Which is an effective preventive measure for barotrauma in children while flying?

<p>Yawning (A)</p> Signup and view all the answers

What should parents avoid doing to prevent complications with a child's hearing aid?

<p>Inserting the earpiece without checking hair (D)</p> Signup and view all the answers

What is the most common type of infection that causes bacterial meningitis in children?

<p>Hemophilus influenzae (A)</p> Signup and view all the answers

Which symptom is least associated with bacterial meningitis in children?

<p>Hyperactivity (D)</p> Signup and view all the answers

What is the recommended treatment duration for antibiotics in cases of bacterial meningitis?

<p>10 to 21 days (D)</p> Signup and view all the answers

Which of the following is a common precipitating factor for febrile seizures in children?

<p>Rapid rise in temperature (A)</p> Signup and view all the answers

What is the main diagnostic method used to confirm bacterial meningitis?

<p>Examination of cerebrospinal fluid (CSF) (C)</p> Signup and view all the answers

What is the average age at which retinoblastoma is diagnosed?

<p>15 to 27 months (B)</p> Signup and view all the answers

Which of the following is NOT a manifestation of retinoblastoma?

<p>Twitching of limbs (C)</p> Signup and view all the answers

What is one of the main treatments for retinoblastoma if vision cannot be saved?

<p>Enucleation of the affected eye (D)</p> Signup and view all the answers

What are the potential causes of altered level of consciousness (ALOC) in children?

<p>Seizures and increased ICP (A)</p> Signup and view all the answers

Which cranial nerve is responsible for vision?

<p>Optic nerve (B)</p> Signup and view all the answers

In which condition would one expect ammonia to accumulate in the blood due to liver dysfunction?

<p>Reye's syndrome (D)</p> Signup and view all the answers

What is a common nursing consideration after enucleation of the eye?

<p>Placing a large pressure dressing over the affected area (A)</p> Signup and view all the answers

What is a typical manifestation of sepsis in children?

<p>Tachycardia (C)</p> Signup and view all the answers

What does the Vagus nerve primarily control?

<p>Sensory and autonomic functions of viscera (B)</p> Signup and view all the answers

Which manifestation is characteristic of Reye's syndrome after a viral illness?

<p>Effortless vomiting (C)</p> Signup and view all the answers

What should parents be instructed about the pressure equalization tube after a myringotomy?

<p>The tube may fall out spontaneously within 6 to 12 months. (D)</p> Signup and view all the answers

What is the appropriate age for preschool visual screening, as recommended by the AAP?

<p>2 to 3 years (B)</p> Signup and view all the answers

What treatment is commonly recommended for a child diagnosed with amblyopia?

<p>Patching of the good eye (D)</p> Signup and view all the answers

Which of the following symptoms may indicate strabismus in a child?

<p>Covering one eye to see (D)</p> Signup and view all the answers

What is a common symptom of eye strain in children?

<p>Dizziness (C)</p> Signup and view all the answers

What is an appropriate intervention for a child diagnosed with conjunctivitis?

<p>Warm compresses and antibiotic eye drops (A)</p> Signup and view all the answers

What can hyphema be defined as?

<p>Presence of blood in the anterior chamber of the eye (B)</p> Signup and view all the answers

What is not an appropriate method for caring for a child's ears after myringotomy?

<p>Cleaning the ears with alcohol regularly (C)</p> Signup and view all the answers

Which type of strabismus involves a constant gaze deviation?

<p>Nonparalytic strabismus (A)</p> Signup and view all the answers

At what age does depth perception begin to develop in infants?

<p>9 months (A)</p> Signup and view all the answers

Flashcards

Child Nursing Care

Providing safe and effective care to children with sensory or neurological conditions.

Sensory/Neurological Disorders

Conditions affecting a child's sensory organs or nervous system.

Nervous System

The brain, spinal cord, and nerves that control body functions.

Terminal Learning Objective

Specific goal for student learning (performing nursing care for a child).

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Risk Assessment

Identifying and evaluating potential dangers in a training environment.

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Otitis Externa

An infection of the outer ear canal, often called swimmer's ear

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Acute Otitis Media

Inflammation of the middle ear; common in young children, often following a cold or upper respiratory infection.

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Eustachian Tube

Connects the middle ear to the throat; helps equalize pressure and drain fluid.

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Tympanic Membrane

The eardrum; transmits sound from the middle ear to the inner ear.

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Ear Canal alignment

Top of the ear aligns with a line drawn from eye's outside corner to the back of the head.

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Infant Ear Examination

Pulling the pinna down and back for infants, up and back for older children to straighten the ear canal when inserting ear drops.

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Pneumococcal otitis media

Middle ear infection caused by pneumococcal bacteria.

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Eustachian tube function (infants)

Shorter, wider, and straighter Eustachian tubes makes infants more vulnerable to middle ear infections.

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Infant's immune system

Infant's humoral defense mechanisms are not fully developed.

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Middle ear infection (OM) signs

Pain, irritability, fever (up to 40°C), vomiting, diarrhea, and ear rubbing are signs.

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Chronic OM duration

Middle ear infection lasting more than three months.

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Myringotomy

Small incision in the eardrum to relieve pressure.

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Conductive hearing loss

Sound blocked from reaching inner ear due to outer/middle ear problems..

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Universal newborn hearing screening

Hearing screening for all newborns (recommended by AAP).

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PE Tube Fall Out

Pressure equalization tubes can come out on their own in 6-12 months.

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Myringotomy

Surgical procedure to create a small opening in the eardrum.

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Newborn Eye Development

Newborn eyes develop gradually, not fully mature.

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Infant Eye Focusing

Newborns can focus and fixate on objects 8-12 inches away for a short time.

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Depth Perception

The ability to see objects in three dimensions, develops around 9 months.

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Preschool Visual Screening

Recommended by AAP for children aged 2-3 for detecting eye issues.

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Amblyopia

Reduced vision in one eye often due to favoring another eye.

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Strabismus

Misalignment of eyes (crossed eyes).

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Bacterial Meningitis

Inflammation of the meninges (brain and spinal cord covering) caused by bacteria, often leading to pus formation.

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Meningitis Symptoms

Severe headaches, drowsiness, delirium, irritability, restlessness, fever, vomiting, stiff neck, high-pitched cry (infants), seizures, and potentially coma.

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Conjunctivitis

Inflammation of conjunctiva (the eye's lining).

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Hyphema

Blood in the front of the eye.

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Reye's Syndrome

Sudden onset of vomiting and altered behavior after a viral illness, often in children.

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Febrile Seizures

Transient seizures triggered by a rapid rise in body temperature, often in children 6 months to 5 years.

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Brain Tumors (children)

Commonly located in the lower brain parts of school-aged kids, often with symptoms related to the tumor's size and location.

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Retinoblastoma

Malignant tumor of the retina; often diagnosed in infants and young children.

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Cat's Eye Reflex

Yellowish-white reflection in the pupil due to a tumor; also called leukocoria.

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Neural Tube Development

Formation of brain and spinal cord during fetal development (3-4 weeks).

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Cranial Nerves

12 pairs of nerves connecting brain to body, controlling senses, movement, and/or both.

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Amblyopia Treatment Goal

Achieving equal and normal vision in both eyes.

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Amblyopia Treatment

Glasses for vision correction and patching of the stronger/better eye.

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Reye's Syndrome

Acute brain and liver disorder, possibly linked to aspirin use in a viral illness.

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Altered Level of Consciousness (ALOC)

Reduced awareness of surroundings; a sign of potential neurological issues.

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Sepsis

Body's severe response to an infection; potentially life-threatening.

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Eye secretion wiping

Wipe from inner to outer corner of the eye, using a separate wipe for each eye, and practice frequent handwashing.

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Study Notes

Components of the Nervous System

  • The nervous system includes the brain, spinal cord, and nerves.

Impact of Sensory or Neurological Disorders

  • Children with sensory or neurological disorders often experience challenges with communication, social interaction, and daily living activities.

Role of the Spinal Cord

  • The spinal cord transmits messages between the brain and the rest of the body.

Workplace Trip and Fall Risks

  • Slippery floors, uneven surfaces, and cluttered walkways can increase the risk of trips and falls in the workplace.

Causes of Eye Strain

  • Prolonged computer use, poor lighting, and incorrect monitor positioning can cause eye strain.

Evaluating Cognitive Learning Objectives

  • Common methods for evaluating cognitive learning objectives include written tests, quizzes, and essays.

Instilling Ear Drops in Infants

  • To instill ear drops in infants, gently pull the pinna down and back.

Otitis Externa

  • Otitis externa is characterized by pain and tenderness in the external ear canal.

Eustachian Tube Function

  • The eustachian tube helps equalize pressure in the middle ear.

Ear Infection Propensity in Infants

  • The horizontal orientation of the eustachian tube in infants and toddlers contributes to their higher propensity for ear infections.

Ear Infection Signs in Infants

  • Fever, irritability, and pulling at the ear are common signs of ear infections in infants.
  • Absence of fever or no ear pain may not be typical signs of an ear infection.
  • Ear discharge is a common symptom of an ear infection in infants.

Consequences of Chronic Ear Infections

  • Chronic ear infections can lead to hearing loss.

Treatment of Ear Infections in Children

  • Antibiotics are the first-line therapy for treating ear infections in children.

Newborns Hearing Screening

  • Routine hearing screening should be performed on newborns before discharge from the hospital.

Diagnosis of Hearing Loss in Children

  • Audiometry, tympanometry, and otoacoustic emissions testing are common methods to diagnosis hearing loss in children.
  • Observational techniques are not typically used.

Preventing Barotrauma in Children

  • Encourage children to swallow or yawn during take-off and landing to prevent barotrauma.

Hearing Aid Complications

  • Parents should avoid exposing hearing aids to excessive heat and moisture.

Meningitis

  • Haemophilus influenzae type b is the most common type of bacterial meningitis in children.

Meningitis Symptoms

  • Lethargy is not a typical symptom of bacterial meningitis in children.
  • Fever, stiff neck, headache, and vomiting are all typical symptoms of bacterial meningitis.

Meningitis Treatment Duration

  • Antibiotics are typically administered for 10 to 14 days in cases of bacterial meningitis.

Febrile Seizures

  • High fever is the most common precipitating factor for febrile seizures in children.

Meningitis Diagnosis

  • Lumbar puncture (spinal tap) is the main diagnostic method used to confirm bacterial meningitis.

Retinoblastoma Diagnosis

  • Retinoblastoma is typically diagnosed around 2 years old.

Retinoblastoma Manifestation

  • Retinoblastoma is a type of eye cancer that can cause a white reflex in the pupil.
  • It is not usually associated with nearsightedness.

Retinoblastoma Treatment

  • Enucleation is a surgical procedure that removes the affected eye if vision cannot be saved.

Altered Level of Consciousness (ALOC) in Children

  • Head injury, infection, and poisoning are potential causes of ALOC in children.
  • Meningitis is a potential cause of an altered level of consciousness.

Cranial Nerve for Vision

  • The optic nerve (cranial nerve II) is responsible for vision.

Ammonia Accumulation

  • Ammonia may accumulate in the blood due to hepatic encephalopathy, a condition caused by liver dysfunction.

Nursing Care After Enucleation

  • Post-enucleation care includes pressure dressings and pain management.

Sepsis Manifestations in Children

  • Fever, rapid breathing, and tachycardia are typical manifestations of sepsis in children.

Vagus Nerve Control

  • The vagus nerve primarily controls heart rate, digestion, and breathing.

Reye's Syndrome Manifestation

  • Encephalopathy, fatty liver, and elevated blood ammonia levels are characteristic manifestations of Reye's syndrome after a viral illness.

Pressure Equalization Tube Instructions

  • Parents should be instructed that the pressure equalization tube (PE tube) can fall out, but it will not harm their child.

Preschool Visual Screening Age

  • The American Academy of Pediatrics (AAP) recommends preschool visual screening starting at age 3.

Amblyopia Treatment

  • Wearing an eye patch over the stronger eye is a common treatment for amblyopia.

Strabismus Symptoms

  • Squinting, tilting the head to see clearly, and covering one eye are signs of possible strabismus.

Eye Strain Symptoms in Children

  • Headaches, blurred vision, and tired eyes are common symptoms of eye strain in children.

Conjunctivitis Intervention

  • Good hygiene practices, such as hand washing, and antibiotic eye drops are common interventions for conjunctivitis.

Hyphema

  • Hyphema is defined as a collection of blood in the anterior chamber of the eye.

Ear Care After Myringotomy

  • Placing cotton swabs into the ear canal is not recommended.

Constant Gaze Deviation

  • Esotropia is a type of strabismus that involves a constant gaze deviation.

Depth Perception Development

  • Depth perception begins to develop during infancy. Infants usually achieve good depth perception by the age of 6-7 months.

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