What is a characteristic of most neonatal seizures? a. Clonic ...

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What is a characteristic of most neonatal seizures?
 
  a. Clonic
  b. Generalized
  c. Well organized
  d. Subtle and barely discernible

Question 2

What is a priority of care for an infant with an intraventricular hemorrhage?
 
  a. Avoid use of analgesia.
  b. Keep the infant's head to the right side.
  c. Minimize interventions that cause crying.
  d. Encourage the staff and parents to hold the infant.

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Answer to Question 1

ANS: D
Seizures in newborns may be subtle and barely discernible or grossly apparent. Most neonatal seizures are subcortical and do not have the etiologic or prognostic significance of seizures in older children. Clonic seizures are slow, rhythmic jerking movements. Generalized seizures are bilateral jerks of the upper and lower limbs that are associated with electroencephalogra phic discharges. Neonatal seizures are not well organized.

Answer to Question 2

ANS: C
The priority goal is to decrease intracranial pressure (ICP). Allowing the infant to cry will cause an increase in pressure. Analgesia is used as necessary to maintain the child pain free. This reduces ICP. The infant should be positioned with the body and head in the midline position. Turning the child's head to the right side can cause cerebral venous congestion and increased ICP. The child should have minimum stimulation to avoid increases in ICP.

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