Cranial nerve VII can be assessed in the older child by asking the child to
a. close the eyes and identify the smell of peanut butter and chocolate.
b. identify the objects on Allen cards.
c. indicate if he hears a bell that is rung out of his line of vision.
d. raise the eyebrows, frown, puff the cheeks out, and close the eyes tightly.
D
Observe facial weakness or paralysis (CN VII) by making the child smile or laugh. An older preschooler may cooperate by raising the eyebrows, frowning, puffing the cheeks out, and closing the eyes tightly on command. Test CN I one side at a time by asking the child to close the eyes and to identify the smell of peanut butter and chocolate. Test vision (CN II) using Allen cards. To evaluate CN VIII, ring a small bell out of the child's vision.
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