module 10 peds neuro Flashcards
first year of life
major brain growth and myelinization
- at birth neuro impulses are primarily handled by the brain stem and spinal cord
brain growth continues till
12 to 15 years of age
hx for children
developmental milestones hyperactive or impulsive behaviors lack of organizational skills sz activity headaches self-care activities; dressing, toileting, feeding
CN II, III, IV, VI
INFANT - optical blink reflex: shining light in infants eye, note - steady gaze w/out wandering of eyes - gaze and tracking - dolls eye CHILDREN - II: Snellen E or picture charte - III, IV, VI: follow object with eyes
CN V
INFANT: - rooting - sucking CHILDREN: - chewing
CN VII
INFANT:
- symmetrical facial expression when crying
CHILDREN:
- smile, crying, showing teeth
CN VIII
INFANT:
- acoustic blink reflex: clap loudly and watch for blink in newborns
- doll eyes: hold the infant under the axillae with head held steady. rotate infant in alternate directions
CHILDREN:
- whisper word behind, audiometric testing
CN IX and X
INFANT:
- suckling and swallowing, gag reflex
CHILDREN:
- elicit a gag
CN XI and XII
INFANT:
- coordinated sucking and swallowing
CHILDREN:
- stick out tongue, shrug shoulders
Children coordination
gait and fine motor coordination
heel-to-toe walking, hopping, jumping
red flags in children observation
developmental delay dec. or inc. tone odd, high-pitched cry failure to make eye contact failure to "flirt" differences in muscle development from side to side motor tics headaches sz
