Answer to Question 1
ANS: C, D, E
Hemiparesis, hemiplegia, and anisocoria (unequal pupils) are signs of brainstem compression and require emergency treatment targeted at decreasing increased intracranial pressure. Coma and lethargy are seen with a subdural hematoma but do not indicate a brainstem compression.
Answer to Question 2
ANS: A, B, C
The classic clinical picture of an epidural hemorrhage is a lucid interval (momentary unconsciousness) followed by a normal period for several hours, and then lethargy or coma due to blood accumulation in the epidural space and compression of the brain. The child may be seen with varying degrees of impaired consciousness depending on the severity of the traumatic injury. Common symptoms in a child with no neurologic deficit are irritability, headache, and vomiting. In infants younger than 1 year of age, the most common symptoms are irritability, pallor with anemia, and cephalhematoma.
Nurse-patient interaction; nonveral communication
Child with cerebral palsy has abnormal muscle tone and lack of physical coordination.
Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash.
Measuring Pediatric Vital Signs
pediatric vital signs