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NURS 2015 > Development: Cerebral Palsy/NTD > Flashcards

Development: Cerebral Palsy/NTD Flashcards

1
Q

What is a myelomeningocele

A

spina bifida- bones do not fuse cord exposed

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2
Q

when does spina bifida occur

A

during early gestation

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3
Q

what part of the spine is associated with spina bifida

A

any part, usually lower

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4
Q

complications associated with myelomeningocele

A

permanent loss of sensory and motor function usually not total loss of movement

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5
Q

what is hydrocephalus

A

build up of fluid in brain. displaced cerebellum allowing CSF in

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6
Q

how is hydrocephalus treated

A

shunt to drain CSF

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7
Q

consequences of myelomeningocele

A

clubbed foot, lack of sensation, weakness below cord

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8
Q

primary screening for spina bifida

A

2nd trimester cranial and spinal ultrasound.

Screen AFP levels

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9
Q

Diagnostic tests for spina bifida

A

amniocentesis

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10
Q

Two types of spina bifida

A

Spina bifida occulta: cutaneous manifestations (birth mark, dimple- small disturbances)
Spina bifida Cystica: external sac, meningocele or myelomeningocele (most common, nerve endings exposed)

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11
Q

Pre-op management of spina bifida

A 
neurologic assessment (reflexes, tactile stimulation, input/output)
care of sac
positioning and feeding
skin care
family support
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12
Q

spina bifida surgical post op care

A 
vital signs
input and output
neuro signs
IV fluids
pain management
monitor for infection (LOW than normal temp in babies)
positioning
incision care
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13
Q

What is a VP shunt

A

ventriculoperitoneal shunt

COILED for growth

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14
Q

why would you measure head circumference post-op VP shunt surgery

A

fluid build up- fontanelles not closed so allows for this. no way of knowing it is growing otherwise

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15
Q

What is a common allergy development in a child with spina bifida

A

latex allergy

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16
Q

Complication of shunts include

A 
infection
malfunctioning (kinking, plugging, seperation)
17
Q

Signs and symptoms of INCREASE intracranial pressure:

A

infants: fever, poor fever, irritability
children: headache, disturbances, confusion, los developmental tasks
diminished LOC

18
Q

What is cerebral palsy

A

most common motor disability associated with delayed and abnormal motor skills

19
Q

types of CP

A

spastic, dyskinetic, ataxic, and mixed

20
Q

What is HIE therapy and what is it used for

A

cerebral palsy: hypoxic ischemic encephalopathy (HIE): cooling to prevent hypoxia (lack of oxygen) for insult around delivery time

21
Q

management for CP

A

HIE

surgeries: tendon lengthening
medications: to decrease muscle spasticity

22
Q

complications CP

A 
malnutrition
increase aspiration
skin breakdown
dental breakdown from seizure meds
constipation
infections
23
Q

What protein are you looking for when screening for spina bifida

A

AFP: alpha-fetoprotein

NURS 2015 (7 decks)

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