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NUR 2180 Physical Assessment Quiz – Neuro/Cranial Nerves
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NUR 2180 Physical Assessment Quiz – Neuro/Cranial Nerves|NUR 2180 Physical Assessment Quiz – Neuro/Cranial Nerves
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NUR 2180 Physical Assessment Quiz – Neuro/Cranial NervesHow do we assess gait?
- observe as the person walks 10 to 20 feet, turns and returns to the starting point. Look for arm
swing, smooth and rhythmic movement, step length, coordination
Problems with Gait/ cerebellum
- Person cannot walk in straight line or heel to toe, they are swaying a lot when walking or standing
What is tandem walking?
- Person walks in straight line heel to toe. Look for deviations in this pattern or if they sway.
How do we do the Romberg test?
- The person stands up with feet together and arms at sides with eyes closed. They must hold position
for 20 seconds without moving or swaying
Negative Romberg test
- No swaying or movement for 20 sec with eyes closed and feet together
Positive Romberg test
- Loss of balance, swaying, extra movement
Bicep reflex
- Reflex which tests nerves C5-6
How do we test bicep reflex
- you support the person forearm, place thumb on biceps tendon and strike. Normal response is
contraction of biceps and flexion of forearm
, Tricep reflex
- reflex that tests nerves C7-C8
How do we test tricep reflex
- let arm go dead as you strike the triceps tendon below elbow. Normal response is extension of
forearm
Brachioradialis reflex
- reflex tests c5-c6
How do we test brachioradialis reflex
- hold the persons thumbs to suspend forearms in relaxation and strike forearm directly. Response is
flexion and supination of forearm
Patellar reflex (knee jerk)
- reflex tests L2-L4
How do we test patellar reflex
- let the legs dang freely to flex the knee, strike the tendon below knee cap. Response is extension of
the lower leg
Achilles reflex
- reflex tests L7-S2
How do we test achilles reflex
- position the person with knee flexed, hold foot in dorsiflexion and strike tendon directly. Response is
the foot plantar flexes against hand
Babinski reflex
- in response to the sole of the foot being stroked, the toes will flare if positive and curl if negative
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