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Cpn Exam – Neurology Questions And Answers With Verified Solutions Already Passed (GRADED A+)
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Cpn Exam – Neurology Questions And Answers With Verified Solutions Already Passed (GRADED A+)
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Cpn Exam – Neurology Questions AndAnswers With Verified Solutions Already
Passed (GRADED A+)
Signs of increased ICP- infant - ANSWER✔✔ bulging fontanel, increased BP,
decreased HR, irritability, decreased RR
Neural Tube Defects
• Anencephaly - ANSWER✔✔ the absence of a major portion of the brain, skull,
and scalp that occurs during embryonic development.
Encephalocele - ANSWER✔✔ sometimes known as cranium bifidum, is a neural
tube defect characterized by sac-like protrusions of the brain and the membranes
that cover it through openings in the skull. These defects are caused by failure of
the neural tube to close completely during fetal development.
Meningocele - ANSWER✔✔ this least common type of spina bifida, the meninges
(membrane surrounding the spinal cord) protrude through the opening causing a
lump or sac on the back.
Myelomeningocele - ANSWER✔✔ a neural tube defect in which the bones of the
spine do not completely form. This results in an incomplete spinal canal. The
spinal cord and meninges (the tissues covering the spinal cord) protrude from
(stick out of) the child's back.
Neural tube defects (all of them) considerations post-op for life - ANSWER✔✔
Latex allergy (pacifiers, nipples, elastic and rubber pants, gum, bananas,
avocados, condoms)
,Myelomeningocele
Pre-op to do - ANSWER✔✔ • Keep area clean
• Assess for function
• Signs of infection
Myelomeningocele
Post-op to do - ANSWER✔✔ • Signs of ICP (head circum is important - high risk for
hydrocephalus)
• Assess for signs of
bowel and bladder
function
• Note degree of leg
movement and
sensitivity (more often have paralysis)
Will be prone on belly (no pressure on wound)
Myelomeningocele post op comps - ANSWER✔✔ infection
Signs of increased ICP- older children - ANSWER✔✔ vomiting
Late sign on increased ICP - ANSWER✔✔ sunset eyes
Myelomeningocele repair - ANSWER✔✔ occurs within 48 hours of birth
, Dilantin side effects - ANSWER✔✔ Gum hyperplasia, hirsutism
Chelating agents work by - ANSWER✔✔ binding of lead to agent for excretion
through urine
VP shunt monitor - ANSWER✔✔ assess operative site, prevent infection, signs of
increased ICP
VP shunt - ANSWER✔✔
Early signs of lead poisoning - ANSWER✔✔ distractible, hyper, learning or
behavior probs
late signs of lead poisoning - ANSWER✔✔ mental retardation, seizures, coma,
death
Why cath myelomeningocele babies - ANSWER✔✔ bladder does not fully empty
(lack of innervation = neurogenic bladder)
will do post void residuals to determine if they have this (>20 ml shows lack of
emptying)
Lead poison sources - ANSWER✔✔ lead based paint chips, bad water from lead
based pipes, dust from lead ammo, battery casings, old toys and some jewelry.
Screening done at routine health visits at 6mo and on:
Live in home built before 1978?
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