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Questions and Answers

Which cranial nerve is responsible for hearing and balance?

  • Seventh cranial nerve
  • Ninth cranial nerve
  • Eighth cranial nerve (correct)
  • Fifth cranial nerve
  • What are the three divisions of the ear?

  • External, middle, internal (correct)
  • Anterior, middle, posterior
  • Lateral, medial, central
  • Superior, middle, inferior
  • How should the pinna of the ear be pulled when instilling ear drops in infants?

  • Up and forward
  • Down and forward
  • Up and back
  • Down and back (correct)
  • Which of the following is a common manifestation of sepsis?

    <p>Fever</p> Signup and view all the answers

    Which of the following is a common symptom of meningitis?

    <p>Nuchal rigidity</p> Signup and view all the answers

    Which of the following is a treatment for encephalitis?

    <p>Sedatives</p> Signup and view all the answers

    Which of the following is a cause of seizures in children?

    <p>Trauma</p> Signup and view all the answers

    Which of the following is a common cause of most neurological disabilities in childhood?

    <p>All of the above</p> Signup and view all the answers

    What is a neurologic emergency indicated by the sudden appearance of a fixed and dilated pupil?

    <p>Increased ICP</p> Signup and view all the answers

    What is Reye's Syndrome characterized by?

    <p>Inflammatory encephalopathy and hepatopathy</p> Signup and view all the answers

    Which of the following is a symptom of strabismus?

    <p>Eye squinting or frowning to focus</p> Signup and view all the answers

    At what age does depth perception begin to develop?

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

    What is the treatment for amblyopia?

    <p>Glasses, opaque contact lens, or patching the good eye</p> Signup and view all the answers

    What is the common name for inflammation of the conjunctiva?

    <p>Pink eye</p> Signup and view all the answers

    Which of the following is NOT a sign of Otitis Externa (swimmer's ear)?

    <p>Presence of a foreign body</p> Signup and view all the answers

    What is the pathophysiology of Acute Otitis Media?

    <p>Infection of the middle ear and mastoid</p> Signup and view all the answers

    Why are infants more prone to Otitis Media?

    <p>Their humoral defense mechanisms are immature</p> Signup and view all the answers

    What is the first sign that a hearing impairment may exist in an infant?

    <p>Lack of startle reflex</p> Signup and view all the answers

    Which diagnostic techniques can be used to determine the type, site, or cause of a seizure?

    <p>CT/MRI, EEG</p> Signup and view all the answers

    What is the fundamental principle of comprehensive seizure management?

    <p>The child must become an active member of the health care team</p> Signup and view all the answers

    What conditions can be mistaken for seizures because of the paroxysmal altered level of consciousness (ALOC)?

    <p>Benign paroxysmal vertigo, Night terrors, Breath-holding spells</p> Signup and view all the answers

    What are some factors that can precipitate cerebral palsy (CP)?

    <p>Birth injuries, Congenital anomalies, Neonatal anoxia</p> Signup and view all the answers

    What is the key to dealing with a child who is developmentally different?

    <p>Providing experiences of success and focusing on strengths</p> Signup and view all the answers

    What can constant failure lead to in a child who is developmentally different?

    <p>Anger and behavior difficulties</p> Signup and view all the answers

    What should be discussed with the family when presenting the findings of a child's assessment?

    <p>Both the child's competence and adaptive behaviors along with the deficiencies</p> Signup and view all the answers

    What is a concussion?

    <p>A temporary disturbance of the brain followed by unconsciousness</p> Signup and view all the answers

    True or false: Amblyopia is a condition characterized by constant failure to develop normal vision in one eye.

    <p>True</p> Signup and view all the answers

    True or false: Barotrauma is a term used to describe cognitive impairment in children.

    <p>False</p> Signup and view all the answers

    True or false: Encephalopathy refers to inflammation of the conjunctiva.

    <p>False</p> Signup and view all the answers

    True or false: Epicanthal folds are a common symptom of strabismus.

    <p>False</p> Signup and view all the answers

    True or false: The ear performs three main functions: hearing, balance, and vision.

    <p>False</p> Signup and view all the answers

    True or false: The auditory nerve function is fully matured by 5 months of age.

    <p>True</p> Signup and view all the answers

    True or false: Middle-ear infections are more common in older children and adults.

    <p>False</p> Signup and view all the answers

    True or false: Tears are absent in infants for the first 2 to 4 weeks of life.

    <p>True</p> Signup and view all the answers

    Day care attendance can contribute to the risk of upper respiratory infections and OM because of increased exposure to ill children.

    <p>True</p> Signup and view all the answers

    Chronic OM can lead to cholesteatoma, a cystlike sac filled with keratin debris.

    <p>True</p> Signup and view all the answers

    Oral amoxicillin is the first-line antimicrobial medication prescribed for OM and is given for 10 days.

    <p>True</p> Signup and view all the answers

    Surgical intervention may be necessary when medical treatment is unsuccessful, and a myringotomy may be performed to relieve pressure.

    <p>True</p> Signup and view all the answers

    True or false: Congenital hearing loss in newborns can only result from hereditary factors.

    <p>False</p> Signup and view all the answers

    True or false: Conductive hearing loss occurs when the hair cells along the cochlea and acoustic nerve are damaged.

    <p>False</p> Signup and view all the answers

    True or false: The American Academy of Pediatrics recommends universal hearing screening at birth or before 3 months of age.

    <p>True</p> Signup and view all the answers

    True or false: Lack of response to sounds or music is the first sign of hearing impairment in infants.

    <p>True</p> Signup and view all the answers

    True or false: Low-set ears may be associated with kidney disorders and intellectual or developmental disabilities.

    <p>True</p> Signup and view all the answers

    True or false: Otitis externa is an acute infection of the external ear canal and is often referred to as swimmer's ear.

    <p>True</p> Signup and view all the answers

    True or false: Otitis media is an inflammation of the middle ear and can lead to mastoiditis if left untreated.

    <p>True</p> Signup and view all the answers

    True or false: Infants are more prone to middle ear infections than older children and adults because their eustachian tubes are shorter, wider, and straighter.

    <p>True</p> Signup and view all the answers

    True or false: Lip reading is not an effective method of communication for hearing-impaired children.

    <p>False</p> Signup and view all the answers

    True or false: The nurse should position themselves at eye level with the child when speaking to them.

    <p>True</p> Signup and view all the answers

    True or false: Hearing aids are designed to fit only behind the ear.

    <p>False</p> Signup and view all the answers

    True or false: Barotrauma can occur during airplane descent and cause painful obstruction of auditory tubes.

    <p>True</p> Signup and view all the answers

    True or false: Tears can be seen overflowing onto the face when an infant cries at 4 to 5 months of age.

    <p>True</p> Signup and view all the answers

    True or false: The ability to transfer objects from one hand to another is partially dependent on the ability to see the object.

    <p>True</p> Signup and view all the answers

    True or false: The development of the ability to crawl is partially dependent on the ability to see an object at a distance.

    <p>True</p> Signup and view all the answers

    True or false: Depth perception is fully developed by 9 months of age.

    <p>False</p> Signup and view all the answers

    True or false: Visual depth perception influences a child's ability to walk or run without falling.

    <p>True</p> Signup and view all the answers

    True or false: The American Academy of Pediatrics recommends preschool visual screening between 2 and 3 years of age.

    <p>True</p> Signup and view all the answers

    Match the following stages of eye development with their corresponding ages:

    <p>Eyes begin to develop as an outgrowth of the forebrain in the embryo = 4 weeks Tears are absent in infants = First 2 to 4 weeks of life Infant's eyes are open most of the day = 4 to 5 months Depth perception is fully developed = 9 months</p> Signup and view all the answers

    Match the following abilities with their dependencies on vision:

    <p>Ability to transfer objects from one hand to another = Partially dependent on the ability to see the object Development of the ability to crawl = Partially dependent on the ability to see an object at a distance and attempt to reach it Child’s ability to run without falling = Influenced by visual depth perception Ability to see an object at a distance = Developed by 9 months of age</p> Signup and view all the answers

    Match the following conditions with their associated parts of the ear:

    <p>Otitis Externa (swimmer's ear) = External ear canal Acute Otitis Media = Middle ear Barotrauma = Auditory tubes Cholesteatoma = Middle ear, if chronic OM is left untreated</p> Signup and view all the answers

    Match the following age groups with their recommended visual screenings:

    <p>Newborns = Universal hearing screening at birth or before 3 months of age Children between 2 and 3 years of age = Preschool visual screening Infants = No specific visual screening is mentioned in the text Children with suspected visual impairments = No specific visual screening is mentioned in the text</p> Signup and view all the answers

    Match the following symptoms with their associated conditions:

    <p>Fixed and dilated pupil = Neurologic emergency Epicanthal folds = Strabismus Lack of response to sounds or music = First sign of hearing impairment in infants Constant failure = Developmental issues in children</p> Signup and view all the answers

    By 4 to 5 months their ______ are open most of the day

    <p>eyes</p> Signup and view all the answers

    The nurse should document this because the ability to transfer objects from one hand to another is partially dependent on the ability to ______ the object

    <p>see</p> Signup and view all the answers

    The development of the ability to crawl is also partially dependent on the ability to ______ an object at a distance

    <p>see</p> Signup and view all the answers

    Depth perception is not developed until ______ months of age

    <p>9</p> Signup and view all the answers

    When the child walks or runs, visual depth perception influences the child’s ability to run without ______

    <p>falling</p> Signup and view all the answers

    The AAP recommends that all children undergo preschool visual screening during well-child visits between 2 and ______ years of age

    <p>3</p> Signup and view all the answers

    The ______ is the organ of vision

    <p>eye</p> Signup and view all the answers

    The anatomy of the eyeball is depicted in ______

    <p>Fig. 23.3</p> Signup and view all the answers

    The eyes begin to develop as an outgrowth of the forebrain in the 4-week-old ______

    <p>embryo</p> Signup and view all the answers

    The retinal vessels ______ (develop)

    <p>vascularize</p> Signup and view all the answers

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