Neuro Assessment 17th study guide pgs 181-188

Neurological Exam this link goes through a thorough neuro exam.  For the CPNE be sure to include:

• level of consciousness - orientation to time, place, and person
• or recognition of familiar people or objects if under 1
•  if noncommunicating adult or child between 1 and 3 - presenting visual, auditory, and tactile stimuli
• pupils - size, equality, reaction to light - use flashlight
• motor response - to touch, strength, equality - use both hands for grasp and dorsiflex or plantar flex both feet
• if child under 3 or noncommunicating adult or child observe symmetry and movement

*if unresponsive to verbal stimuli check response to noxious stimuli (pressure to the nail bed)
**if a child under the age of one, check the anterior fontanel for bulging by gently palpating while child is in an upright position. photo of a baby's anterior fontanel

Record:

1. LOC
2. Assessment of fontanel (if applicable)
3. PEARL
4. equality of motor response
5. response of noxious stimuli (if applicable)