part 1 Flashcards
How do we get information from infants and small children < 2 years for an assessment of the pediatric nervous system?
-observation of spontaneous and elicited reflex responses
What are some red flags involved with the assessment of the pediatric nervous system.
- delay or deviation from expected milestones
- persistence or reappearance of reflexes that normally disappear
What is the general assessment of the peds nervous system?
- hx of pregnancy and family hx
- height and weight
- head circumference
- developmental milestones
- assessment and description of behavior
- vital signs
What is the neurologic assessment of the meds nervous system?
- eyes: pupillary response and size
- cranial nerves
- motor function: tone, strength, etc)
- sensory function: deep tendon reflexes, etc)
- coordination: throwing a ball, dressing
- mental status: school age and adolescence
LOC’s:
awake, alert, oriented, interacts with environment
full
LOC’s:
lacks ability to think clearly and rapidly
confused
LOC’s:
lacks ability to recognize place or person
disoriented
LOC’s:
awakens easily but exhibits limited responsiveness
lethargic
LOC’s:
sleeps unless aroused; once aroused has limited interaction with environment
obtunded
LOC’s:
requires considerable stimulation to rouse
stupor
LOC’s:
vigorous stimulation produces no motor or verbal response
coma
LOC’s:
permanent loss of function of cerebral cortex
persistent vegetative state
