Health Assessment

Front 1

Occurs at the end of inspiration, don't clear with cough.

High-pitched, short, crackling.

Collapsed or fluid-filled alveoli open.

Back 1

Fine Rale or Crackle

Front 2

Occurs at the end of inspiration, don't clear with cough.

Loud, moist, low-pitched, bubbling.

Back 2

Coarse Rale or crackle

Front 3

Expiration, inspiration when severe.

High-pitched, continuous.

From blocked airflow as in asthma, infection, foreign body obstruction.

Back 3

Wheezes (sibilant)

Front 4

Heart Rates:

Infant
Toddler
School-age
Adolescent

Back 4

80-150

70-110

60-110

60-110

Front 5

RR:

Infant

Toddler

School-age

Adolescent

Back 5

24-38

22-30

14-22

12-22

Front 6

Systolic BP:

Infant

Toddler

School-age

Adolescent

Back 6

65-100

90-105

90-120

110-125

Front 7

Diastolic BP:

Infant

Toddler

School-age

Adolescent

Back 7

45-65

55-70

60-75

65-85

Front 8

HEADSS and the age group its used for

Back 8

Home environment

Education

Alcohol

Drugs

Sexual Activity

Suicide

Adolescent History

Front 9

QUESTT and the age group its used for

Back 9

Pain assessment in children

Questioning the child

Use a pain rating scale

Evaluate behavioural

Secure parent's involvement

Take the cause of pain into account

Take action and evaluate results

Front 10

Tiny,smooth, white cysts of hair follicles (epstein’spearls) normal, sometimes present at birth, on nose and forehead

Back 10

Milia

Front 11

Coveringof fine hair in new bornson upper chest, shoulders, backs

Back 11

Lanugo

Front 12

storkbites, macules and patches caused by intradermal capillaries. Normal in manybabies

Back 12

Salmon patches

Front 13

dark-blueishpigmentation, not common in caucasians

Back 13

Mongolian spots

Front 14

Vernixcaseosa(cheaselikesubstance at birth) Morbilliform(measles like rash)

Back 14

Acrocyanosis

Front 15

Anterior frontanels fuse at age

Back 15

12-18 months

Front 16

Posterior frontanels fuse at age

Back 16

2-5 months

Front 17

Teeth should begin to erupt before the age of

Back 17

1 yr

Front 18

Low set ears in children is related to what genetic illness?

Back 18

Downsyndrome

Front 19

Inward gaze

Back 19

esotropia

Front 20

outward gaze

Back 20

exotropia

Front 21

Eyes don't align properly

Back 21

strabismus

Front 22

Non-convergence strabismus is normal in children under the age of?

Back 22

2 months

Front 23

What age should you start getting vision screened?

Back 23

5 years old. Before school.

Front 24

To perform an ear exam in children you pull the pinna _____ and ______

For an adult you pull it ______ and ______

Back 24

down and back

up and back

Front 25

Infants primarily breath through their ______

Back 25

nose

Front 26

_________________:

When you inhale your heart rate increases. When you exhale your heart rate decreases.

Back 26

Sinus arrhythmia

Front 27

Un-descended testicle is referred to as ______

Back 27

Cryptorchidism

Front 28

When the urethral opening of a child is on the bottom part of the penile shaft

Back 28

Hypospadias

Front 29

Bulging anterior fontanel, eyes deviated downward,"setting" sun sign, are all collectively related to ______________.

Back 29

Hydrocephalus

Front 30

Genu varum means

Genu valgus means

Back 30

round, bow-legged

grinding, knock-kneed

Front 31

Foreskin retracted and becomes tight.

Back 31

Paraphimosis

Front 32

Foreskin is tight and can't be retracted.

Back 32

Phimosis

Front 33

Erect penis that doesn't return over 4 hours.

Back 33

Priapism

Front 34

For healthy children, at what age can a nurse stop asking questions about the birth history?

Back 34

6 years

Front 35

A newborn girl has a bulge on the abdomen around the umbilicus. The parents are concerned about this. What can the nurse tell the parents?

Back 35

This is an umbilical hernia. More than 95% of these cases resolve themselves by the time the child is 6 years of age.

Front 36

•flatyellow growths on the eyelids

•Inpeople with high cholesterol or fat levels

Back 36

Xanthelasma

Front 37

•Yellowpatch or bump on conjuctiva near cornea

•Onside of eye closest to nose, deposit of protein, fat, and calcium

Back 37

Pingueculae

Front 38

•Inpeople outdoors a lot

•Surferseye, cgrowth of pink fleshy tissue on the whiteof the eye

Back 38

Pterygium

Front 39

•Anarrow opaque band around the cornea

Back 39

Arcus senilis

Front 40

Farsighted due to loss of elasticity of lens

Back 40

Presbyopia

Front 41

A nurse measures the waist and hips of an elderly client to compare the waist–hip ratio. The client asks, “Why is this done? It’s never been done before?” How should the nurse respond?

Back 41

Correlates with CV

Front 42

When a nurse is performing the Romberg test on an elderly female client, the client starts falling forward before the nurse stops her. The nurse knows this is indicative of what?

Back 42

Parkinsons

Front 43

A nurse is assessing a 79-year-old male about his medications. What does the nurse need to remember to ask about the client’s prescription medications?

Back 43

Whether the client takes the medication as prescribed.

Front 44

A 22-year-old woman comes into the clinic. She has a 5 cm well-defined round firm lump located in the upper outer quadrant of her right breast. The lump is freely moveable within the breast and the client denies any pain. What is this most likely to be?

Back 44

Fibroadenoma

Front 45

What age group in men has the highest percentage of male breast cancer?

Back 45

>60

Front 46

What is the name of the hair infestation that is signaled by tiny, white, oval eggs that adhere to the hair shaft?

Back 46

Pediculosis capitis

Front 47

What is the name of the white, cheese-like mixture of sebum and epidural cells on the newborn’s skin?

Back 47

Vernix caseosa

Front 48

Ecchymosis (bruising) in periumbilical area is a sign of abdominal bleeding and is called ___________

Back 48

cullen's sign

Front 49

Ecchymosis (bruising) in flank area is associated with pancreatitis, or bleeding in peritoneum, and is called ___________

Back 49

Grey Turner's sign

Front 50

internally provoked inflammation of the skin causing reddened papules and vessicles that ooze, weep, and progress to form crusts.

usually located on the scalp, face, elbows, and knees, forearms, and wrists.

Back 50

eczema (atopic dermatitis)

Front 51

Thickening in dry, silvery, scaly patches. Occurs with overproduction of skin cells, that result in a buildup of cells faster than they can be shed. May be aggravated by stress.

Back 51

Psoriasis

Front 52

Caused by vascular dilation, elevated estrogen, pregnancy, vitamin B deficiency, or liver disease. Most common on upper half of the body.

Flat, bright red dot, with tiny radiating blood vessels ranging in size from a pinpoint to 2 cm. It blanches with pressure.

Back 52

Spider Angioma

Front 53

Raised, irregularly shaped lesion similar to ecchymosis except that it elevates the skin and looks like a swelling.

Caused by leakage of blood into the skin and subcutaneous tissue as a result of trauma or surgical incision.

Back 53

Hematoma

Front 54

__________ sign:

Significant softening of the vaginal portion of the cervix from increased vascularization.

Back 54

Goodell sign

Front 55

_________ sign:

bluish discolouration of the cervix, vagina, and labia resulting from increased blood flow

Back 55

Chadwick sign

Front 56

________ sign:

softening of the uterus and the region that connects the body of the uterus and cervix that occurs throughout pregnancy

Back 56

Hegar sign

Front 57

A sharp upward pushing against the uterine wall with the finger inserted into the vagina for diagnosing pregnancy by feeling the return impact of the displaced fetus

Back 57

Ballottment

Front 58

Sporadic uterine contractions

Back 58

Braxton-Hicks contractions

Front 59

First trimester:

Second trimester:

Third trimester:

Back 59

0-12

13-27

28-40+

Front 60

Pregnant woman =

Pregnancy =

# of pregnancies that have reached 20 weeks =

Pregnant for first time =

More than one pregnancy =

Back 60

Gravida

Gravity

Parity

Primigravida

Multigravida

Front 61

GTPAL

Back 61

gravity

term babies shes had

number of pre term babies

number of abortions

living

Front 62

Closureof AV valves = Beginning Systole (between atrium and ventricles)(tricuspid/right and bicuspid/left)

Back 62

S1

Front 63

Closureof SemiLunarValves (pulmonic, and aortic) = End of Systole

Back 63

S2

Front 64

Ventricular Gallop

Back 64

S3

Front 65

Atrial Gallop

Back 65

S4

Front 66

Two sounds - Mitral &Tricuspid valves = asynchronicity

Back 66

Split S1

Front 67

Twosounds - Aortic & Pulmonic valves = asynchronicity increased Inspiration

Back 67

Split S2

Front 68

Two sounds - Aortic &Pulmonic valves = asynchronicity high Expiration

Back 68

Paradoxical S2

Front 69

Mitral valve prolapse is heard as a

Back 69

Midsystolic click

Front 70

If a client has arterial insufficiency in the legs, what kind of pain would (s)he experience?

Back 70

A gnawing, sharp, stabbing pain that increases with exercise.

Front 71

__________ sign:

take a deep breath, and release. As they release a positive sign is that you can feel their liver

Back 71

Murphy's sign