{"id":255,"date":"2015-12-11T15:18:56","date_gmt":"2015-12-11T15:18:56","guid":{"rendered":"http:\/\/brooksidepress.org\/ob-ped\/?page_id=255"},"modified":"2023-08-20T22:09:19","modified_gmt":"2023-08-20T22:09:19","slug":"3-21-neurological-assessment","status":"publish","type":"page","link":"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-3-pediatric-emergencies\/section-v-trauma-in-children\/3-21-neurological-assessment\/","title":{"rendered":"3-21. NEUROLOGICAL ASSESSMENT"},"content":{"rendered":"<p>The neurological assessment is very important and will be repeated several\u00a0times after the initial examination.<\/p>\n<p>A comparison of the findings of later neurological\u00a0examinations with the first assessment will show changes, if there are any, in the child&#8217;s\u00a0condition. The direction of these changes will determine how his physical condition is to\u00a0be treated.<\/p>\n<p>With that in mind, proceed with the neurological assessment as follows:<\/p>\n<p>a. <strong>Level of Consciousness<\/strong>. Ask the parent if the child is responding normally.\u00a0Is the child able to recognize familiar objects and people. Classify the child according\u00a0to the following:<\/p>\n<p style=\"padding-left: 30px;\">(1) Alert and oriented. The child can focus on you and answer questions.<\/p>\n<p style=\"padding-left: 30px;\">(2) Responsive. The child seems to be unconscious but has these\u00a0responses:<\/p>\n<p style=\"padding-left: 60px;\">(a) Opens his eyes if you speak to him or tries to answers questions.<\/p>\n<p style=\"padding-left: 60px;\">(b) Tries to avoid pain.<\/p>\n<p style=\"padding-left: 60px;\">(c) Displays pupillary response and eye movement.<\/p>\n<p style=\"padding-left: 60px;\">(d) Displays muscular strength.<\/p>\n<p style=\"padding-left: 60px;\">(e) Has normal reflexes.<\/p>\n<p>b. <strong>Pupils<\/strong>. Are the child&#8217;s pupils equal in size? Do the pupils of his eyes\u00a0respond to light?<\/p>\n<p>c. <strong>Check of Upper Body<\/strong>. Check the child&#8217;s head, neck, and chest observing\u00a0for signs of trauma.<\/p>\n<p>d. <strong>Response to Stimuli<\/strong>. Does the child respond to verbal and\/or painful\u00a0stimuli?<\/p>\n<p>e. <strong>Movements<\/strong>. Is the child able to move his extremities purposefully?<\/p>\n<p>f. <strong>Fluid from Ears<\/strong>. Does the child have clear or bloody fluid coming from his\u00a0ears.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The neurological assessment is very important and will be repeated several\u00a0times after the initial examination. A comparison of the findings of later neurological\u00a0examinations with the first assessment will show changes, if there are any, in the child&#8217;s\u00a0condition. The direction of these changes will determine how his physical condition is to\u00a0be treated. With that in mind, &hellip; <a href=\"https:\/\/brooksidepress.org\/ob-ped\/lessons\/lesson-3-pediatric-emergencies\/section-v-trauma-in-children\/3-21-neurological-assessment\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">3-21. NEUROLOGICAL ASSESSMENT<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":46,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-255","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/comments?post=255"}],"version-history":[{"count":3,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/255\/revisions"}],"predecessor-version":[{"id":563,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/255\/revisions\/563"}],"up":[{"embeddable":true,"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/pages\/46"}],"wp:attachment":[{"href":"https:\/\/brooksidepress.org\/ob-ped\/wp-json\/wp\/v2\/media?parent=255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}