Use finger puppets to turn a pediatric neurologic exam into a series of games. By holding the child’s head still with one hand, you can use the puppet on your other index finger to check cardinal fields of gaze.

Additionally, having the child touch his or her nose and then your finger puppet is a good way to initiate the finger-nose test for dysmetria of reach. — Beth Heuer, CPNP-PC, Pittsburgh, Pa. (181-6)

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