The nurse is caring for a child admitted with complex partial seizures. Which clinical manifestation would likely have been noted in the child with this diagnosis?
a) The child was dizzy and had decreased coordination.
b) The child had jerking movements and then the extremities stiffened.
c) The child was rubbing the hands and smacking the lips.
d) The child had shaking movements on one side of the body.
Answer: c) The child was rubbing the hands and smacking the lips.
Complex partial seizures, also called psychomotor seizures, change or alter consciousness. They cause memory loss and staring and nonpurposeful movements, such as hand rubbing, lip smacking, arm dropping, and swallowing. In the tonic phase of tonic-clonic seizures, the child's muscles contract, the child may fall, and the child's extremities may stiffen. During the prodromal period of the tonic-clonic seizure, the child might have a lack of coordination. Simple partial motor seizures cause a localized motor activity such as shaking of an arm, leg, or other part of the body.
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