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1. Describe the key components of the pediatric neurological exam, including age-dependent variables.
2. Discuss the sequelae of maternal drug use on the newborn.
3. List the diagnostic criteria for Attention Deficit Hyperactivity Disorder, and differentiate between subtypes.
4. Explain pharmacological and nonpharmacological intervention for pediatric headaches.
5. Identify neurocutaneous disorders in the pediatric population, and potential complications.
6. Describe the prevalence and symptoms of various types of seizures and epilepsy across pediatric age groups.
7. Recognize vocal and motor tics in children and adolescents, and address comorbidity issues.
8. Delineate the support available through the local public school district via Section 504 planning and Individualized Education Plans (IEP).
9. Integrate plans for the transition of adolescents into adulthood into your practice.

1. Recognizing Neurological Disease during Childhood
1. History and Physical: The Cornerstones of Neurological Evaluation
1. History of the presenting problem
2. Family history
3. Birth and developmental history
4. Components of the neurological exam
1. Mental status
2. Developmental milestones
3. Cranial nerves
4. Motor
5. Deep tendon reflexes
6. Sensory
7. Cerebellar
2. Classification of Neurological Disorders
2. Disorders of the Neonate
1. Neonate exam
2. Neonatal red flags
1. “State” issues
2. Vital sign instability
3. Abnormal reflexes
4. Feeding
5. Neurocutaneous findings
6. Motor abnormalities
3. Specific disorders of the newborn period
1. Sequelae of maternal drug use
2. Perinatal infection
3. Inborn errors of metabolism
4. Seizures
5. Sturge-Weber Syndrome
6. Hypotonia
7. Congenital malformations
3. Disorders of the Infant (3-12 months of age)
1. Infant exam
2. Red flags of infancy
1. Developmental milestones
2. Feeding/sleep issues
3. Motor abnormalities
4. Neurocutaneous findings
3. Specific disorders of infancy
1. Seizures
2. Tuberous sclerosis
3. Cerebral palsy
4. Metabolic disorders
4. Disorders of the Toddler/Preschooler (1-5 years of age)
1. Toddler/preschooler exam
2. Red flags of a toddler/preschooler
1. Developmental milestones
2. Regression of skills
3. Behavioral issues
4. Neurocutaneous findings
3. Specific disorders of a toddler/preschooler
1. Seizures
2. Stroke
3. Autism
4. Rett Syndrome
5. Disorders of the School-Aged Child (6-12 years of age)
1. School-aged child exam
2. Red flags of a school-aged child
1. Academic difficulties
2. Failure to meet developmental milestones
3. Regression of skills
4. Behavioral issues
5. Movement disorders
3. Specific disorders of a school-aged child
1. Mental retardation
2. Learning disability
3. ADHD
4. Neurofibromatosis 1
5. Seizures
6. Tics/Tourette Syndrome
7. Headaches
8. Muscular Dystrophy
4. Supports at School: IEP and Section 504 planning
6. Disorders of Adolescents (13-18 years of age)
1. Adolescent exam
2. Red flags of an adolescent
1. Academic difficulties
2. Behavioral issues
3. Sleep issues
3. Specific disorders of adolescents
1. Learning disability/ADHD
2. Traumatic brain injury
3. Seizures
4. Migraines in girls
5. Psychiatric disorders
6. Sleep disorders
7. Transition to Adulthood
1. Medical needs insurance/finances
2. Education/employment
3. Community living
4. Socialization

Tamara H. Langhoff has over 20 years of experience working with children facing neurological and developmental disorders. She is currently a certified pediatric nurse practitioner with the Division of Pediatric Neurology at Children's Hospital of Wisconsin, where she is a past recipient of the Advanced Practice Nursing Excellence Award. In addition to her clinical practice, Tamara teaches residents, medical and nurse practitioner students, and provides respite care to pediatric patients and their families in the home care setting.

Tamara is an active member of the Institute for Family-Centered Care, the National Association of the Pediatric Nurse Practitioners, the Society of Pediatric Nurses (SPN), and the Association of Child Neurology Nurses (ACNN). She has presented nationally for ACNN. Tamara spearheaded the formation of the Wisconsin chapter of SPN and served as the first chapter president. Disclosures:

Financial: Tamara H. Langhoff is receiving a fee for speaking at today's educational activity.

Nonfinancial: Tamara H. Langhoff has no relevant nonfinancial relationships to disclose.

For U.S. and Canadian customers, CE is available for $20 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion will be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 9/16/2016
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.5 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.6 contact hours.

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Speech-Language Pathologists & Audiologists
This course contains 5.5 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.

California Speech-Language Pathologists/Audiologists: PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 5.5 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.

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Social Workers
PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.5 Clinical Practice continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation.

Canadian Social Workers: PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for this self-study course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.5 Clinical continuing education credits. Course Level: Intermediate. Full attendance is required; no partial credits will be offered for partial attendance. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.

Illinois Social Workers: PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 5.5 contact hours.

Minnesota Social Workers: PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study course has been approved for 5.5 continuing education hours. A certificate will be issued upon successful completion of a post-test.

California Social Workers/ Counselors/Marriage & Family Therapists/Licensed Educational Psychologists: The California Board of Behavioral Sciences accepts CE programs that are approved by other approval agencies, including several that approve PESI and its programs. A full list of approval agencies accepted by the BBS can be found at www.bbs.ca.gov/licensees/cont_ed.html under “Where to find CE Courses.” This intermediate level activity consists of 5.0 clock hours of continuing education instruction.

Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors: PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number 50-399. This self-study course qualifies for 5.5 continuing education credits.

Ohio Social Workers, Counselors, and Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 5.5 clock hours of continuing education credit.

Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: This intermediate activity consists of 5.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Speech Language Pathologists, Occupational Therapists, Occupational Therapy Assistants, Nurse Educators, Physical Therapists, Physical Therapy Assistants, Physician Assistants, Social Workers, Audiologists