« previous next »

Author Question: The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro, tonic ... (Read 16 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
on: Jun 28, 2018
The nurse is doing a neurologic assessment on a 2-month-old infant after a car accident. Moro, tonic neck, and withdrawal reflexes are present. How should the nurse interpret these findings?
 
  a. Neurologic health
  b. Severe brain damage
  c. Decorticate posturing
  d. Decerebrate posturing

Question 2

The nurse is closely monitoring a child who is unconscious after a fall and notices that the child suddenly has a fixed and dilated pupil. How should the nurse interpret this?
 
  a. Eye trauma
  b. Brain death
  c. Severe brainstem damage
  d. Neurosurgical emergency


snackralk

  • Sr. Member
  • ****
  • Posts: 363
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Moro, tonic neck, and withdrawal reflexes are three reflexes that are present in a healthy 2-month-old infant and are expected in this age group.

Answer to Question 2

ANS: D
The sudden appearance of a fixed and dilated pupil(s) is a neurosurgical emergency. The nurse should immediately report this finding. Although a dilated pupil may be associated with eye trauma, this child has experienced a neurologic insult. One fixed and dilated pupil is not suggestive of brain death. Pinpoint pupils or fixed, bilateral pupils for more than 5 minutes are indicative of brainstem damage. The unilateral fixed and dilated pupil is suggestive of damage on the same side of the brain.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Cerebral Vascular Accident - Left Cerebral Vascular Accident - Left
Infant car seat Infant car seat
Patient teaching: female breast assessment Patient teaching: female breast assessment
How does your baby grow up starting from 4th month? How does your baby grow up starting from 4th month?
7-month-old Leslie —an example of cross-modal transfer 7-month-old Leslie —an example of cross-modal transfer
Infant mortality by income quintile, urban Canada, 1996 Infant mortality by income quintile, urban Canada, 1996
Video: Cardiac Cycle (Part 2 of 4)

For a complete list of videos, visit our video library