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NURS 2356 - NEURO | UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION WITH VERIFIED SOLUTIONS| GRADED A+| GET IT 100% ACCURATE!! what can cause physical defects and affect normal CNS development in the first 3 - 4 weeks gestation? (4) infection tra$17.99
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NURS 2356 - NEURO | UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION WITH VERIFIED SOLUTIONS| GRADED A+| GET IT 100% ACCURATE!! what can cause physical defects and affect normal CNS development in the first 3 - 4 weeks gestation? (4) infection tra
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Course
NURS 2356
Institution
NURS 2356
NURS 2356 - NEURO | UPDATE | COMPREHENSIVE
MOST FREQUENTLY TESTED QUESTION WITH
VERIFIED SOLUTIONS| GRADED A+| GET IT 100%
ACCURATE!!
what can cause physical defects and affect normal
CNS development in the first 3 - 4 weeks gestation?
(4)
infection
trauma
teratogens
malnutrition
NURS 2356 - NEURO | UPDATE | COMPREHENSIVE
MOST FREQUENTLY TESTED QUESTION WITH
VERIFIED SOLUTIONS| GRADED A+| GET IT 100%
ACCURATE!!
what can cause physical defects and affect normal
CNS development in the first 3 - 4 weeks gestation?
(4)
➣ infection
➣ trauma
➣ teratogens
➣ malnutrition
what impact can birth have on the cranial bones and
brain (2)
➣ increased risk for fractures due to cranial bones
being well developed, but not fused together
➣ increased risk for hemorrhage due to brain being
highly vascular
why are children at a high risk for cervical spine
injury?
spinal cord is mobile
,anatomical and physiological differences in pediatric
patients compared to adults (5)
➣ anterior & posterior fontanels are present
➣ head circumference is an important measurement
➣ top heavy
➣ cephalocaudal-proximodistal development
➣ primitive reflexes in infants
what does consciousness consist of?
➣ alertness - wakeful state and includes the ability
to respond to stimuli
➣ cognition - the ability to process stimuli and
demonstrate a verbal or motor response
what is the earliest indicator of improvement or
deterioration of neurologic status
LOC changes
how many states of LOC are there
5
➣ full consciousness
➣ confusion
➣ obtunded
➣ stupor
➣ coma
what is the full consciousness state of LOC (4)
,➣ the child is awake and alert
➣ oriented to time, place and person
➣ exhibits age-appropriate behaviors
➣ if the child is asleep, should arouse easily and
then become oriented or have normal behavior
within a few seconds
laboratory and diagnostic testing for bacterial
meningitis
➣ CSF analysis and culture using lumbar puncture
(LP)
➣ complete CBS
➣ blood, urine and nasopharyngeal culture
isolation precaution for meningitis
droplet for 24 hours after start of antibiotics &
contact
medication therapy for bacterial meningitis (4)
➣ IV fluid management - correction of deficits and
electrolyte abnormalities followed by fluid
restriction until normal serum Na and no signs of
, increased ICP
➣ antibiotics like ampicillin and cephalosporins (i.e.
cefriazone, cefeprime) are given initially until CSF
C&S result return
➣ antipyretics
➣ anti-inflammatory (i.e. dexamethasone)
encephalitis
➣ clinical manifestations (8)
acute inflammation of the brain commonly caused
by virus or autoimmune disorders
manifests as:
➣ meningeal irritation signs like nuchal rigidity,
photophobia
➣ severe HA
➣ fever
➣ irritability
➣ bulging fontanels
➣ flaccid or spastic paralysis
➣ seizures or respiratory difficulty
➣ altered mental status that can progress to coma
management of encephalitis (4)
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