NUR-3423: Children with Neuromuscular and Cerebral Disorders

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22 Questions

What is the primary disorder associated with upper motor neuron lesions in children?

Cerebral palsy

Which of the following is NOT a symptom of neuromuscular dysfunction in children?

Hypertonia

What is the primary purpose of the FOUR Score Scale in pediatric neurological assessment?

To assess level of consciousness

Which of the following is a red flag for child neurological assessment?

Irritability and restlessness

What is the term for inflammation of the membranes that surround the brain and spinal cord?

Meningitis

Which diagnostic tool is used to measure electric activity in muscles?

Electromyogram (EMG)

What is the most common cause of meningitis in newborns and young babies?

Group B streptococcus

What is a common symptom of meningitis in children older than one year?

Neck and/or back pain

What is the purpose of a lumbar puncture (spinal tap) in the diagnosis of meningitis?

To remove a small amount of cerebral spinal fluid (CSF) for testing

What is a common sign of meningitis in infants?

Bulging fontanel

Which of the following is NOT a symptom of meningitis in children?

Delayed speech development

What is another diagnostic tool used in the diagnosis of meningitis?

Computed tomography (CT) scan

What is the estimated incidence of Cerebral Palsy (CP) per 1000 live births?

1.5 to more than 4

What percentage of CP cases are due to unknown prenatal factors?

70 to 80%

What is the primary determinant of CP in preterm birth?

Preterm birth of ELBW and VLBW

Which classification system is used to assess the gross motor function of children with CP?

Gross Motor Function Classification System (GMFCS)

What is the primary cause of brain damage in Cerebral Palsy?

Anoxia

What is the primary goal of therapy for children with CP?

Establish locomotion and communication skills

What is the name of the examination used to assess neuromotor impairment in children with CP?

Hammersmith Infant Neurological Examination (HINE)

What is the primary manifestation of CP related to anatomic areas of brain damage?

Alterations of muscle tone and reflex abnormalities

What is the primary type of botulinum toxin used to decrease spasticity in CP?

Botulinum toxin type A (Botox)

What is the primary goal of pharmacologic interventions in CP?

To decrease spasticity

This quiz covers the session learning outcomes for NUR-3423, focusing on children and adolescent health nursing, particularly on neurological assessment diagnostic tools, AVPU, PGCS, FOUR Scale, and red flags for childhood disorders.

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