Exam 9: Assessment of the Neurological System

The Romberg test is a good test for:

Evaluate any child who has head trauma or loses consciousness with the Glasgow Coma Scale. The scale comprises three tests, which include of the following except:

With the child's arm resting on her leg, locate the ulnar tendon approximately 1 inch above the wrist on the radial side.

Match each item to the statement or sentence listed below. -Touch both sides of the body simultaneously. Ask the child to point to where you touched.

If the DTRs are hyperreactive:

Tap the Achilles tendon slightly medially. The child's foot should flex upward (dorsiflexion).

Match each item to the statement or sentence listed below. -Use a tuning fork.

Because dermatomes overlap, the sensations can be transmitted by the dermatome to the lateral extremity when one nerve is severed.

For younger children, make a game of testing DTR's-make it fun. Grasp her hands and _________________________ while laughing. She will begin to laugh and you will feel pressure.

Match each item to the statement or sentence listed below. -Tickle the child.

CN II-XII can easily be checked in a well-child examination. The __________________ is usually not tested.

Match each item to the statement or sentence listed below. -Using two ends of an opened paperclip, touch a finger pad either in two places simultaneously or simply in one place and ask the child to identify if one or two places were touched.

Match each item to the statement or sentence listed below. -Ask the child to touch your index finger and then his nose alternately several times.

Match each item to the statement or sentence listed below. -Have the child kick an object.

Match each item to the statement or sentence listed below. -Have the child close her eyes. Touch a place on the child's skin. Then have the child open her eyes and touch the same area.

Match each item to the statement or sentence listed below. -Have the child touch each of his fingers with his thumb in rapid sequence.

Match each item to the statement or sentence listed below. -Using the end of a pen, draw a large number in the palm of the child's hand and ask the child to identify it.

Match each item to the statement or sentence listed below. -Have the child heel/toe walk or do three pirouettes while walking.

Match each item to the statement or sentence listed below. -Have the child place his hands on his knees and tap them as fast as he can, turning his hand over and back as rapidly as possible.

To test sensation, tickle the child on various parts of the body.