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Questions and Answers
Which developmental milestone is typically observed during later intrauterine development of the nervous system?
Which developmental milestone is typically observed during later intrauterine development of the nervous system?
- The fetus responds to stimuli (correct)
- Initial formation of neural tube
- Development of the brainstem
- Formation of the spinal cord
What is the primary function of the cerebrum within the central nervous system?
What is the primary function of the cerebrum within the central nervous system?
- Serving as the center of consciousness (correct)
- Regulating involuntary body functions
- Transmitting sensory information to the brain
- Controlling motor coordination and balance
How many pairs of cranial nerves are part of the peripheral nervous system?
How many pairs of cranial nerves are part of the peripheral nervous system?
- 24 pairs
- 31 pairs
- 43 pairs
- 12 pairs (correct)
If a patient exhibits difficulty in regulating heart rate and digestion, which part of the nervous system is MOST likely affected?
If a patient exhibits difficulty in regulating heart rate and digestion, which part of the nervous system is MOST likely affected?
In stressful situations, the sympathetic nervous system elicits which physiological change?
In stressful situations, the sympathetic nervous system elicits which physiological change?
What physiological response is associated with the parasympathetic nervous system?
What physiological response is associated with the parasympathetic nervous system?
Which of the following components form the protective layers surrounding the brain?
Which of the following components form the protective layers surrounding the brain?
What process primarily maintains intracranial pressure balance?
What process primarily maintains intracranial pressure balance?
What is the primary purpose of myelination in the nervous system?
What is the primary purpose of myelination in the nervous system?
Which of the following assessments is typically included in a pediatric neurological evaluation?
Which of the following assessments is typically included in a pediatric neurological evaluation?
A patient who is awake but unable to think clearly and is bewildered is MOST accurately described as:
A patient who is awake but unable to think clearly and is bewildered is MOST accurately described as:
Proprioception contributes to which sensory function?
Proprioception contributes to which sensory function?
Which condition is characterized by an absence of both hemispheres of the brain, with only the brainstem and cerebellum present?
Which condition is characterized by an absence of both hemispheres of the brain, with only the brainstem and cerebellum present?
Exposure to Zika virus during pregnancy is MOST strongly associated with which congenital neurological disorder?
Exposure to Zika virus during pregnancy is MOST strongly associated with which congenital neurological disorder?
What is a key characteristic of encephalocele?
What is a key characteristic of encephalocele?
What type of defect is present in myelomeningocele, a form of Spina Bifida?
What type of defect is present in myelomeningocele, a form of Spina Bifida?
Which assessment is MOST critical immediately after birth for a newborn with a suspected neural tube defect?
Which assessment is MOST critical immediately after birth for a newborn with a suspected neural tube defect?
Why is it important to keep a myelomeningocele sac moist with sterile gauze?
Why is it important to keep a myelomeningocele sac moist with sterile gauze?
In the care of a child with a neural tube defect, what nursing consideration is essential due to potential allergies?
In the care of a child with a neural tube defect, what nursing consideration is essential due to potential allergies?
During the immediate interventions for a child experiencing a near-drowning incident, what is the FIRST priority?
During the immediate interventions for a child experiencing a near-drowning incident, what is the FIRST priority?
What is a crucial nursing intervention for an infant born prematurely with intraventricular hemorrhage (IVH)?
What is a crucial nursing intervention for an infant born prematurely with intraventricular hemorrhage (IVH)?
Which exposure poses the greatest risk for lead poisoning in young children?
Which exposure poses the greatest risk for lead poisoning in young children?
A child presents with gastrointestinal upset, a metallic taste in their mouth, and altered mental status. Which condition would the nurse suspect?
A child presents with gastrointestinal upset, a metallic taste in their mouth, and altered mental status. Which condition would the nurse suspect?
What is a key characteristic of meningococcal meningitis that differentiates it from other types of meningitis?
What is a key characteristic of meningococcal meningitis that differentiates it from other types of meningitis?
What assessment findings are indicative of meningitis in an infant?
What assessment findings are indicative of meningitis in an infant?
What nursing intervention is critical when caring for a child with meningitis?
What nursing intervention is critical when caring for a child with meningitis?
Which of the following is MOST closely associated with Reye syndrome?
Which of the following is MOST closely associated with Reye syndrome?
What is an important nursing intervention for a child with Reye syndrome to prevent further complications?
What is an important nursing intervention for a child with Reye syndrome to prevent further complications?
What nursing assessment is essential for a patient with Reye Syndrome?
What nursing assessment is essential for a patient with Reye Syndrome?
What indicates a complete spinal cord injury (SCI)?
What indicates a complete spinal cord injury (SCI)?
Upon initial assessment of a child with a suspected spinal cord injury (SCI), which intervention has top priority?
Upon initial assessment of a child with a suspected spinal cord injury (SCI), which intervention has top priority?
Which of the following is TRUE regarding primary and secondary brain injuries associated with TBI?
Which of the following is TRUE regarding primary and secondary brain injuries associated with TBI?
For an adolescent, what is a key teaching point for preventing traumatic brain injuries (TBI)?
For an adolescent, what is a key teaching point for preventing traumatic brain injuries (TBI)?
What BEST describes a concussion?
What BEST describes a concussion?
Which set of assessment findings is MOST indicative of increased intracranial pressure (IICP)?
Which set of assessment findings is MOST indicative of increased intracranial pressure (IICP)?
After a traumatic bain injury (TBI) , what intervention is used to decrease ICP?
After a traumatic bain injury (TBI) , what intervention is used to decrease ICP?
What is a priority nursing consideration after head trauma?
What is a priority nursing consideration after head trauma?
Which type of brain tumor is MOST prevalent in children under the age of seven?
Which type of brain tumor is MOST prevalent in children under the age of seven?
Which intervention is MOST important for the nurse when providing care for a client with a brain tumor?
Which intervention is MOST important for the nurse when providing care for a client with a brain tumor?
Which of the following has not been categorized as causing migraines?
Which of the following has not been categorized as causing migraines?
During which period of development does the nervous system first begin to form?
During which period of development does the nervous system first begin to form?
What is the total number of spinal nerve pairs that comprise a component of the peripheral nervous system?
What is the total number of spinal nerve pairs that comprise a component of the peripheral nervous system?
The autonomic nervous system (ANS) is primarily responsible for which bodily functions?
The autonomic nervous system (ANS) is primarily responsible for which bodily functions?
What response does the sympathetic nervous system (SNS) elicit during stressful situations?
What response does the sympathetic nervous system (SNS) elicit during stressful situations?
Which physiological change is associated with activation of the parasympathetic nervous system?
Which physiological change is associated with activation of the parasympathetic nervous system?
What are the three protective membranes that surround the brain called?
What are the three protective membranes that surround the brain called?
Which process primarily maintains intracranial pressure (ICP) balance in the brain?
Which process primarily maintains intracranial pressure (ICP) balance in the brain?
What is the function of myelination within the nervous system?
What is the function of myelination within the nervous system?
During a pediatric neurological assessment, which reflex is evaluated to assess neurological function?
During a pediatric neurological assessment, which reflex is evaluated to assess neurological function?
Which term describes a state of consciousness where a patient is sluggish, apathetic, and difficult to arouse?
Which term describes a state of consciousness where a patient is sluggish, apathetic, and difficult to arouse?
Proprioception, a sense of body awareness in space, depends on which sensory function?
Proprioception, a sense of body awareness in space, depends on which sensory function?
In anencephaly, which parts of the brain are typically absent at birth?
In anencephaly, which parts of the brain are typically absent at birth?
What neurological condition is most closely associated with exposure to the Zika virus during pregnancy?
What neurological condition is most closely associated with exposure to the Zika virus during pregnancy?
What is an encephalocele?
What is an encephalocele?
In myelomeningocele, a form of spina bifida, what type of defect is typically present?
In myelomeningocele, a form of spina bifida, what type of defect is typically present?
For a newborn with a suspected neural tube defect, what immediate assessment is MOST critical?
For a newborn with a suspected neural tube defect, what immediate assessment is MOST critical?
Why is maintaining the moisture of a myelomeningocele sac with sterile gauze so important?
Why is maintaining the moisture of a myelomeningocele sac with sterile gauze so important?
What allergy is of particular concern when caring for a child with a neural tube defect?
What allergy is of particular concern when caring for a child with a neural tube defect?
Which of the following is the immediate priority for a child experiencing a near-drowning incident?
Which of the following is the immediate priority for a child experiencing a near-drowning incident?
For a premature infant with intraventricular hemorrhage (IVH), what is the most important nursing intervention?
For a premature infant with intraventricular hemorrhage (IVH), what is the most important nursing intervention?
In young children, which source of exposure poses the greatest risk for lead poisoning?
In young children, which source of exposure poses the greatest risk for lead poisoning?
A child exhibits symptoms of gastrointestinal distress, a metallic taste, and altered mental status. Which condition should the nurse primarily suspect?
A child exhibits symptoms of gastrointestinal distress, a metallic taste, and altered mental status. Which condition should the nurse primarily suspect?
What is a key distinguishing symptom of meningococcal meningitis compared to other types of meningitis?
What is a key distinguishing symptom of meningococcal meningitis compared to other types of meningitis?
For an infant, which assessment findings are most indicative of meningitis?
For an infant, which assessment findings are most indicative of meningitis?
What is a critical nursing intervention when caring for a child diagnosed with meningitis?
What is a critical nursing intervention when caring for a child diagnosed with meningitis?
Reye syndrome is most closely associated with the use of which medication?
Reye syndrome is most closely associated with the use of which medication?
What is a critical nursing intervention for a child with Reye syndrome to prevent complications?
What is a critical nursing intervention for a child with Reye syndrome to prevent complications?
In patients with Reye syndrome, what nursing assessment is of utmost importance?
In patients with Reye syndrome, what nursing assessment is of utmost importance?
What defines complete spinal cord injury (SCI)?
What defines complete spinal cord injury (SCI)?
Which action is the highest priority during the initial assessment of a child with a suspected spinal cord injury (SCI)?
Which action is the highest priority during the initial assessment of a child with a suspected spinal cord injury (SCI)?
Regarding primary and secondary brain injuries associated with TBI, which statement is TRUE?
Regarding primary and secondary brain injuries associated with TBI, which statement is TRUE?
For adolescents, what is the most crucial teaching point for preventing traumatic brain injuries (TBI)?
For adolescents, what is the most crucial teaching point for preventing traumatic brain injuries (TBI)?
What statement best describes a concussion??
What statement best describes a concussion??
What set of assessments is most indicative of increased intracranial pressure (IICP)?
What set of assessments is most indicative of increased intracranial pressure (IICP)?
Following a TBI, which intervention is typically used to decrease intracranial pressure (ICP)?
Following a TBI, which intervention is typically used to decrease intracranial pressure (ICP)?
What is the most prevalent type of brain tumor found in children under the age of seven?
What is the most prevalent type of brain tumor found in children under the age of seven?
For a client with a brain tumor, what intervention is most important for the nurse to implement?
For a client with a brain tumor, what intervention is most important for the nurse to implement?
What nursing consideration is important to implement to manage migraine headaches?
What nursing consideration is important to implement to manage migraine headaches?
Flashcards
Early Nervous System Development
Early Nervous System Development
The nervous system begins to form during early embryonic development.
Peripheral Nervous System (PNS)
Peripheral Nervous System (PNS)
The peripheral nervous system consists of 12 pairs of cranial nerves and 31 pairs of spinal nerves.
Cerebrum Function
Cerebrum Function
The cerebrum is the center of consciousness and is divided into two hemispheres.
Autonomic Nervous System (ANS)
Autonomic Nervous System (ANS)
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Sympathetic Nervous System (SNS)
Sympathetic Nervous System (SNS)
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Parasympathetic Nervous System
Parasympathetic Nervous System
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Intracranial Pressure Balance
Intracranial Pressure Balance
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Myelination
Myelination
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Full Consciousness
Full Consciousness
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Confused (level of consciousness)
Confused (level of consciousness)
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Disoriented (level of consciousness)
Disoriented (level of consciousness)
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Lethargic (level of consciousness)
Lethargic (level of consciousness)
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Obtunded (level of consciousness)
Obtunded (level of consciousness)
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Cerebral Palsy (CP)
Cerebral Palsy (CP)
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Neural Tube Defects
Neural Tube Defects
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Anencephaly
Anencephaly
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Microcephaly
Microcephaly
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Encephalocele
Encephalocele
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Myelomeningocele
Myelomeningocele
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Lead Poisoning
Lead Poisoning
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Meningitis
Meningitis
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Meningococcal Meningitis
Meningococcal Meningitis
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Reye Syndrome
Reye Syndrome
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Increased Intracranial Pressure (IICP)
Increased Intracranial Pressure (IICP)
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Seizure Disorders
Seizure Disorders
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Infantile Spasms
Infantile Spasms
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Evaluating Seizures
Evaluating Seizures
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Concussion
Concussion
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Contusion (brain)
Contusion (brain)
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Complete SCI
Complete SCI
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Incomplete SCI
Incomplete SCI
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Sympathetic nervous system
Sympathetic nervous system
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Non Hydrocephalus
Non Hydrocephalus
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Central Nervous System
Central Nervous System
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Cerebrum Divisions
Cerebrum Divisions
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List Cranial Nerves
List Cranial Nerves
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Cerebral Palsy (CP) signs
Cerebral Palsy (CP) signs
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Cerebral Palsy Types
Cerebral Palsy Types
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Neural Tube Defect Interventions
Neural Tube Defect Interventions
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Evaluating Neural Tube Defects
Evaluating Neural Tube Defects
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Drowning and Near Drowning
Drowning and Near Drowning
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Tonic-Clonic Seizure
Tonic-Clonic Seizure
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Absant Seizure
Absant Seizure
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Traumatic Brain Injury - Primary
Traumatic Brain Injury - Primary
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Traumatic Brain Injury - Secondary
Traumatic Brain Injury - Secondary
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Brain Tumors: Nursing
Brain Tumors: Nursing
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Evaluating Hydrocephalus
Evaluating Hydrocephalus
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Hydrocephalus
Hydrocephalus
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Increased Intracranial Pressure
Increased Intracranial Pressure
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Seizure: Nursing Consideration
Seizure: Nursing Consideration
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Study Notes
Development of The Nervous System
- In early embryonic development, the nervous system starts forming.
- During intrauterine development, the fetus responds to stimuli.
- After birth, the nervous system continues its development.
- Development of the nervous system includes the brain and spinal cord.
Central Nervous System (CNS)
- The CNS consists of the brain and spinal cord.
- The brain includes the cerebrum, the center of consciousness.
- The cerebrum is divided into two hemispheres.
- The CNS includes the frontal, temporal, parietal, and occipital lobes, as well as the diencephalon, cerebellum, and brainstem.
- The diencephalon consists of the Thalamus and Hypothalamus.
Peripheral Nervous System (PNS)
- The PNS includes 12 pairs of cranial nerves and 31 pairs of spinal nerves.
Cranial Nerves
- The cranial nerves are Olfactory (I), Optic (II), Oculomotor (III), Trochlear (IV), Trigeminal (V), Abducens (VI), Facial (VII).
- The cranial nerves are Glossopharyngeal (IX), Vagus (X), Spinal Accessory (XI), and Hypoglossal (XII).
Autonomic Nervous System (ANS)
- The ANS controls involuntary body functions.
- The Sympathetic Nervous System (SNS) provides emergency response to stimuli, known as "fight or flight."
- The Parasympathetic Nervous System influences muscle tone and the relaxation of sphincter muscles, known as "rest and digest."
- The Sympathetic and Parasympathetic Nervous Systems have different effects on various body structures.
Anatomy of The Brain
- Includes three protective membranes: dura mater, arachnoid membrane, and pia mater.
- Cerebral spinal fluid (CSF) forms in the brain's lateral ventricles.
Intracranial Pressure Balance
- Maintained by the production/absorption of CSF within the brain.
- Maintained by blood vessel dilation/constriction within the brain.
- Maintained by Production/circulation of hormones that increase or decrease urine production.
Myelination
- Myelination involves the formation of a protective coating around nerve fibers.
- Myelination is essential for motor control, coordination, and cognitive maturity.
Pediatric Neurological Assessment
- Includes detailed health history, physical examination, lab studies, and diagnostic tests.
- Assessing reflexes like Moro’s, sucking, fencing/tonic, plantar, Palmer, Babinski's, rooting, stepping, crawling, and step.
Levels of consciousness
- Full consciousness includes being alert, oriented, and communicative.
- Confusion causes a reduced awareness of being and inability to think clearly.
- Disorientation includes not oriented to person, place, or time with a deepened state of confusion.
- Lethargy includes being sluggish, apathetic, and unable to stay aroused.
- Obtunded is a loss of sensitivity to one's surroundings.
- Coma is deep unconsciousness.
The Senses
- The Senses include: Auditory, Olfactory, Tactile, Visual, Gustatory and Proprioception.
- Proprioception is sense of space.
Congenital Neurological Disorders
- Cerebral Palsy, Anencephaly, Microcephaly, Encephalocele, Spina Bifida, Type 1 Meningocele, Type 2 Meningocele.
Cerebral Palsy (CP)
- CP can occur during fetal development or during the birthing process.
- It is caused by anoxia before, during, and after the birth process, up to the second year of life.
Cerebral Palsy Types
- Ataxic, Spastic, Hypotension, Dyskinetic, Mixed.
Evaluating Cerebral Palsy
- Includes tight muscles that do not stretch, "scissors" movements of arms and legs, and joint contractures with limited range of motion (ROM).
- It can also include paralysis/muscle weakness, tremors, floppy extremities/overextension of joint areas, and pain.
Cerebral Palsy Nursing Interventions/Considerations
- Interventions include: providing support, symptom management, promoting mobility/socialization, and reduce injuries.
- Considerations include: reducing complications, teaching family airway maintenance, ROM exercises, and ensure SAFETY.
Neural Tube Defects
- Anencephaly, Microcephaly, Encephalocele, Spina Bifida, Type 1: Myelomeningocele, and Type 2: Meningocele.
Anencephaly
- A child is born with the absence of both hemispheres and the presence of the brainstem and cerebellum.
Microcephaly
- A child is born with an abnormally small head and brain.
- Exposure to the Zika virus is associated with congenital Zika syndrome and can lead to skull collapse.
Encephalocele
- A child is born with an abnormal sac of fluid that causes the brain and meninges to herniate through a defect in the skull.
- Brain tissue may be found within the sac.
Spina Bifida
- Myelomeningocele causes the vertebral column not to close completely and protrude a sac that contains CSF, meninges, and part of the spinal cord.
- 80% are located in the lumbosacral areas.
- Meningocele causes the spinal column to have a defect that results in an abnormal protrusion of CSF-filled sac.
Evaluating Neural Tube Defects
- Early fetal assessment, ultrasounds during pregnancy.
- Measure head circumference and assess for neurological deficiencies, bowel, and bladder function.
Neural Tube Defect Interventions
- Handle abnormal sac with care and assess for leaks, rupture, and infection in CNS and keep sac moist with NS-soaked gauze, as well as family education.
- Post-op care: involves fluid balance measurement, ROM exercises, support lower extremities. Also perform intermittent catheterization.
Neural Tube Defect Nursing Considerations
- Latex allergy, education on motor limitations, and education on the importance of folic acid.
Neurological Injuries
- Neurological Injuries include: Drowning, Near Drowning, Intraventricular Hemorrhage (IVH), Lead Poisoning, Meningitis, Reye's Syndrome, Spinal Cord Injury (SCI) and Traumatic Brain injury (TBI).
Drowning and Near Drowning
- Peak periods are in toddler and later adolescence periods.
- Evaluation: Check airway, ventilation, ability/quality of respirations, HR, BP, ABGs, and LOC.
- Interventions: CPR and Ventilators and provide oxygen support and IV fluids. Remove wets clothes and provide a warm environment and warm blankets.
- Nursing Considerations: Offer support team, and family and contact social worker and spiritual support.
Intraventricular Hemorrhage (IVH)
- Rupture of vascular network in germinal matrix leads to brain bleed.
- Evaluation: If premature (<32 Weeks)
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