Ricci 38 (1) Flashcards
What is a sign of increased intracranial pressure (ICP) in a 10-year-old child?
A. Headache
B. Bulging fontanel
C. Tachypnea
D. Increase in head circumference
A. Headache
Which information should the nurse give to a child who is to have magnetic imaging (MRI) of the brain?
A. Your head will be restrained during the procedure.
B. You will have to drink a special fluid before the test.
C. You will have to lie flat after the test is finished.
D. You will have electrodes placed on your head with glue.
A. Your head will be restrained during the procedure.
Which term is used when a patient remains in a deep sleep, responsive only to vigorous and repeated stimulation?
A. Coma
B. Stupor
C. Obtundation
D. Persistent vegetative state
B. Stupor
The Glascow Coma Scale consists of an assessment of
A. Pupil reactivity and motor response
B. Eye opening and verbal and motor responses
C. Level of consciousness and verbal response
D. ICP and level of consciousness
B. Eye opening and verbal and motor responses
Nursing care of the infant who has had a myelomeningocele repair should include
A. Securely fastening the diaper
B. Measurement of pupil size
C. Measurement of head circumference
D. Administer of seizure medications
C. Measurement of head circumference
The most common problem of children born with melomeningocele is
A. Neurogenic bladder
B. Intellectual impairment
C. Respiratory compromise
D. Cranioschisis
A. Neurogenic bladder
A recommendation to prevent neural tube defects is the supplementation of
A. Vitamin A throughout pregnancy
B. Multivitamin preparations as soon as pregnancy is suspected
C. Folic acid for all women of childbearing age
D. Folic acid during the first and second trimesters of pregnancy
C. Folic acid for all women of childbearing age
How much folic acid is recommended for women of childbearing age?
A. 1.0 mg
B. 0.4 mg
C. 1.5 mg
D. 2.0 mg
B. 0.4 mg
Latex allergy is suspected in a child with spin bifida. Appropriate nursing interventions include
A. Avoiding using any latex product
B. Using only nonallergenic latex products
C. Administering medication for long-term desensitization
D. Teaching family about long-term management of asthma
A. Avoiding using any latex product
When a 2-week-old infant is seen for irritability, poor appetite, and rapid head growth with observable distended scalp veins the nurse recognizes these signs as indicative of
A. Hydrocephalus
B. Syndrome of inappropriate antidiuretic hormone (ADH)
C. Cerebral palsy
D. Reyes syndrome
A. Hydrocephalus
What findings should cause the nurse to suspect a diagnosis of spastic cerebral palsy?
A. Tremulous movements at rest and with activity
B. Sudden jerking movement caused by stimuli
C. Writhing, uncontrolled, involuntary movements
D. Clumsy, uncoordinated movements
B. Sudden jerking movement caused by stimuli
Which finding I an analysis of cerebrospinal fluid (CSF) is consistent with a diagnosis of bacterial meningitis?
A. CSF appears cloudy
B. CSF pressure is decreased
C. Few leukocytes are present
D. Glucose level is increased compared with blood
A. CSF appears cloudy
How should the nurse explain positioning for a lumbar puncture to a 5-year-old child
A. You will be on your knees with your head down on the table
B. You will be able to sit up with your chin against your chest
C. You will be on your side with the head of your bed slightly raised
D. You will lie on your side and bend your knees so that they touch your chin
D. You will lie on your side and bend your knees so that they touch your chin
A mother reports that her child has episodes where he appears to be staring into space. This behavior is characteristic of which type of seizure?
A. Absence
B. Atonic
C. Tonic-clonic
D. Simple partial
A. Absence
What is the best response to a father who tells the nurse that his son daydreams at home and his teacher has observed this behavior at school?
A. Your son must have an active imagination
B. Can you tell me exactly how many times this occurs in one day?
C. Tell me about your son’s activity when you notice the daydreams
D. He is probably overtired and needs more rest
C. Tell me about your son’s activity when you notice the daydreams
