wash hands, use hand sanitizer

ask permission, interact with child and parent

comment on level of consciousness

ask the patient to lie supine

elicitation of neck stiffness: passive flexion of the neck is limited

correct interpretation of neck stiffness maneuver

elicitation of Kernig's sign = flexing the patient’s hip 90 degrees then extending the patient’s knee causes pain

correct interpretation of Kernig’s

elicitation of Brudzinski's signs = flexing the patient’s neck causes flexion of the patient’s hips and knees

correct interpretation of Brudzinski’s