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Neuro Assessment II

Teacher: Kate Fetter MSN, RN, EMT-P
Horizontales
A __________ hemorrhage is less common and is due to an aneurysm between the base of the cerebral cortex and the arachnoid layer of the meninges. Symptoms include sudden severe headache, nausea and vomiting, sudden loss of consciousness, and focal seizures.
Brain attack
Mixed group of paralytic neuromotor disorders of infancy and childhood; due to damage to cerebral cortex from a developmental defect, intrauterine meningitis or encephalitis, birth trauma, anoxia, or kernicterus. (2 words).
Initially after a stroke an arm or leg may be flaccid, ultimately will develop
(Lower motor neuron problem) Decreased muscle tone or hypotonia; muscle feels limp, soft, and flabby; muscle is weak and easily fatigued; limb feels like a rag doll
Brush the infant's cheek near the mouth, the infant turns mouth to that side. What reflex?
Weak pelvic muscles are a sign of _______ ________
The ________ nerve is primarily responsible for sensation, so the lack of blinking when the cornea is touched with a piece of cotton can be indicative of an abnormality of this nerve
The gait that you might observe in a patient with alcohol or barbiturate effect on cerebellum; cerebellar tumor; multiple sclerosis
_________stroke is a sudden interruption of blood flow to the brain and accounts for 87% of all strokes
A baby raises the head and arches the back, this reflex is gone by 18 months.
Have the person assume a supine position, with the knees slightly bent. Use the handle end of the reflex hammer, a wood applicator tip, or the end of a split tongue blade to stroke the skin. Move from each corner of the abdomen toward the midline at both the upper and lower abdominal levels (Fig. 23-38). The normal response is __________ contraction of the abdominal muscle.
Paralysis on one side.
A in FAST 2 words
_______ ____ is important to reduce the risks of neural tube defects.
Verticales
Kid going to college should have a __________ vaccination!
S in FAST 2 words
(Upper motor neuron issue) Increased tone or hypertonia; increased resistance to passive lengthening; then may suddenly give way (clasp-knife phenomenon) like a pocket knife sprung open
The lower arm should ______ when the triceps tendon is struck with the pointed end of the reflex hammer
From the supine position the child will roll to one side, bend forward to all four extremities, plant hands on legs, and literally “climb” up himself or herself. This is a _________ sign
F in FAST 2 words.
________ strokes results from acute rupture and bleeding from a weakened artery in the brain and accounts for 13% of all strokes.
Type of rigidity in which the increased tone is released by degrees during passive range of motion so it feels like small, regular jerks
Rapid, sudden jerk or a short series of jerks at fairly regular intervals. Hiccups
The reflex is present at birth, is strongest at 1 to 2 months, and disappears at 3 to 4 months. (2 words)
Bulls-eye! (2 words)
Another vaccine a child going off to college should have. Usually in fall H. _____.
T in FAST _____ to call 911
Startle the infant by jarring the crib, making a loud noise, or supporting the head and back in a semi-sitting position and quickly lowering the infant to 30 degrees. The baby looks as if he or she is hugging a tree: symmetric abduction and extension of the arms and legs, fanning fingers, and curling of the index finger and thumb to C-position occur. The infant then brings in both arms and legs (Fig. 23-49). The reflex is present at birth and disappears at 1 to 4 months.