Nursing · NCLEX-RN

Pediatric Nursing: Neuro and Musculoskeletal

System-based pediatric neurologic and musculoskeletal condition assessment findings and priority interventions.

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What is an early sign of increased intracranial pressure (ICP) in an infant?
Bulging fontanel
What is Cushing's triad, a late sign of increased ICP?
Bradycardia, irregular respirations, and widened pulse pressure
What eye finding is called the 'setting sun sign' in infants with increased ICP?
Eyes deviate downward with sclera visible above the iris
What is the classic symptom triad of bacterial meningitis in an older child?
Fever, nuchal rigidity, and headache
What does a positive Brudzinski sign indicate?
Involuntary hip and knee flexion when the neck is flexed, suggesting meningeal irritation
What does a positive Kernig sign indicate?
Pain or resistance on knee extension when the hip is flexed, suggesting meningeal irritation
What is the priority nursing action when bacterial meningitis is suspected in a child?
Initiate droplet precautions/isolation immediately
What test confirms a diagnosis of meningitis?
Lumbar puncture with cerebrospinal fluid (CSF) analysis
Febrile seizures typically occur in children within what age range?
6 months to 5 years
During a child's active seizure, what is the priority nursing action?
Protect from injury, position side-lying, and never restrain or insert anything into the mouth
How does spina bifida occulta typically present externally?
No visible sac; may show a dimple or tuft of hair over the spine
What distinguishes a myelomeningocele from other forms of spina bifida?
The sac contains meninges, cerebrospinal fluid, and neural tissue
How should the sac be protected preoperatively in a newborn with myelomeningocele?
Cover with a sterile, moist, non-adherent dressing and position the infant prone
Why are children with spina bifida at increased risk for a specific allergy?
Latex allergy, due to repeated early and ongoing latex exposure from surgeries and catheterizations
____ in an infant is a key sign of hydrocephalus.
Rapid head circumference growth

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