A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?

Follow a light in the six cardinal positions.

Move their tongue in all directions.

Show their teeth while smiling.

Shrug their shoulders against mild pressure.

Answer and Explanation

The Correct Answer is D

The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles.

The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance.

Choice A is wrong because following a light in the six cardinal positions tests the function of cranial nerves III, IV, and VI.

Choice B is wrong because moving their tongue in all directions tests the function of cranial nerve XII.

Choice C is wrong because showing their teeth while smiling tests the function of cranial nerve VII.

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Correct Answer is C

Explanation

According to UCSF Benioff Children’s Hospital Oakland Orthopaedic Department, you can change your baby’s diaper with the Pavlik harness in place and make sure the straps are kept outside of the diaper.

Choice A is wrong because while your child is being treated in the Pavlik harness, it is very important that you do not remove the harness or adjust the straps, unless you are given specific instructions by your doctor to do so.

Choice B is wrong because there are no instructions to apply lotion to the skin under the straps.

Choice D is wrong because the duration of treatment will be determined by your doctor and may vary.

A. Position the opening of the bag over the urethra and the anus. B. Place a snug-fitting diaper over the drainage bag. C. Apply lidocaine gel to the perineum before attaching the bag. D. Stretch the perineum taut when applying the bag.

Correct Answer is B

Explanation

This helps to keep the urine collection bag in place while the infant is active.

Choice A is wrong because the opening of the bag should be positioned over the urethra only, not over both the urethra and anus.

Choice C is wrong because there is no need to apply lidocaine gel to the perineum before attaching the bag.

Choice D is wrong because there is no need to stretch the perineum taut when applying the bag.

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A nurse is assessing a school-age child's cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?

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A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?