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Nursing · NCLEX-RN · Healthcare and Nursing

Pediatric Nursing: Neuro and Musculoskeletal

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

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35 basic cards for NCLEX-RN Nursing. Set 2 of 3 in Pediatric Nursing. It opens with "What is an early sign of increased intracranial pressure (ICP) in an infant?" and "What is Cushing's triad, a late sign of increased ICP?". Study it alongside the other NCLEX-RN sets below.

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What is an early sign of increased intracranial pressure (ICP) in an infant?
Show answerBulging fontanel
What is Cushing's triad, a late sign of increased ICP?
Show answerBradycardia, irregular respirations, and widened pulse pressure
What eye finding is called the 'setting sun sign' in infants with increased ICP?
Show answerEyes deviate downward with sclera visible above the iris
What is the classic symptom triad of bacterial meningitis in an older child?
Show answerFever, nuchal rigidity, and headache
What does a positive Brudzinski sign indicate?
Show answerInvoluntary hip and knee flexion when the neck is flexed, suggesting meningeal irritation
What does a positive Kernig sign indicate?
Show answerPain 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?
Show answerInitiate droplet precautions/isolation immediately
What test confirms a diagnosis of meningitis?
Show answerLumbar puncture with cerebrospinal fluid (CSF) analysis
Febrile seizures typically occur in children within what age range?
Show answer6 months to 5 years
During a child's active seizure, what is the priority nursing action?
Show answerProtect from injury, position side-lying, and never restrain or insert anything into the mouth
How does spina bifida occulta typically present externally?
Show answerNo visible sac; may show a dimple or tuft of hair over the spine
What distinguishes a myelomeningocele from other forms of spina bifida?
Show answerThe sac contains meninges, cerebrospinal fluid, and neural tissue
How should the sac be protected preoperatively in a newborn with myelomeningocele?
Show answerCover 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?
Show answerLatex allergy, due to repeated early and ongoing latex exposure from surgeries and catheterizations
____ in an infant is a key sign of hydrocephalus.
Show answerRapid head circumference growth

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