Exam (elaborations)
Chapter 27. theChild with Cerebral Dysfunction
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 27. theChild with Cerebral Dysfunction
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Chapter 27. theChild with Cerebral DysfunctionMULTIPLE CHOICE
1. An injury to which part of thebrain will cause a coma?
a. Brainstem
, b. Cerebrum
c. Cerebellum
d. Occipital lobe
ANS: A
Injury to thebrainstem results in stupor and coma. Signs of damage to thecerebrum are specific
to theinvolved area. Individuals with frontal lobe injury may have impaired memory, personality
changes, or altered intellectual functioning. Individuals with damage to thecerebellum have
difficulties with coordination of muscle movements, including ataxia and nystagmus. Impaired
vision and functional blindness result from injury to theoccipital lobe.
DIF: Cognitive Level: Understanding REF: dl. 1425
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. What finding is a clinical manifestation of increased intracranial pressure (ICP) in children?
a. Low-pitched cry
b. Sunken fontanel
c. Diplopia, blurred vision
d. Increased blood
pressure ANS: C
Diplopia and blurred vision are signs of increased ICP in children. A high-pitched cry and a
tense or bulging fontanel are characteristic of increased ICP. Increased blood pressure, common
in adults, is rarely seen in children.
DIF: Cognitive Level: Analyzing REF: dl. 1428
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
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