Assessment Of Cerebral Function Flashcards
Obtain a thorough health history and ask the parent these questions.
This is an example of why the nurse would implement this type of assessment?
Immunization status
Increased Risk for Congential Heart Defects.
This is an example of why the nurse would implement this type of assessment?
Family History
Determine cause of injury.
SBAR with the parent because they will have long stories.
Ask situation background then ask them what they think is wrong and what they want done. RN should clarify and ask closed ended questions as needed.
This is an example of why the nurse would implement this type of assessment?
Mechanism of injury
Can decrease future growth > Intrauterine growth restriction.
Cleft palate > resolved.
Immature lungs > asthma predisposition > asthma resolved.
Patent foramen ovale at birth > resolved.
This is an example of why the nurse would implement this type of assessment?
Health History
Head to toe assessment.
Increased ICP tolerated in children because the sutures of the skull stretch.
> It is important to remember that kids tolerate increased ICP better than adults because of the skull being able to stretch. So assess for early signs and symptoms of increased ICP.
This is an example of why the nurse would implement this type of assessment?
Physical Examination
If the child is small determine if related to cleft palate. This is only worrisome if the child is in the 3rd percentile in height and weight.
This is an example of why the nurse would implement this type of assessment?
Developmental status
When did the signs and symptoms start ask parents.
In Infants and young children: observe spontaneous and elicited reflexes.
Look at the child.
This is an example of why the nurse would implement this type of assessment?
Onset of symptoms
Neck injury. Running in a bounding manner caused example internal decapitation of a patient.
This is an example of why the nurse would implement this type of assessment?
Mechanism of injury