CNM Purple Big Book: General Health Assessment and Health Promotion 2013 Flashcards Preview

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Flashcards in CNM Purple Big Book: General Health Assessment and Health Promotion 2013 Deck (216)
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1

ROS endocrine focus

Menses, breasts, pregnancy, thyroid, menopause

1

ROS genitourinary

In uterine exposure to DES if born before 1971
Uterine or ovarian problems
History or symptoms of STI or pelvic infection
History or sx of vaginal infections
History of abnormal Paps - date, abnormality, tx
Hx or sx of UTI
Sx of urinary incontinence

2

Concluding question

Is there anything else I need to know about your health in order to provide you with the best health care?

3

Prevalence

Existing level of disease

4

Incidence

Rate of new disease

5

Tympani

Loud, high-pitched, drum-like sound, eg, gastric bubble, gas-filled bowel

6

Resonance

Loud, low-pitched, hollow sound, eg. Healthy lungs

8

Dull

Soft to mod, mod-pitched, thud-like sound, eg liver, heart

9

light palpation is used to identify...

~1 cm deep
muscular resistance
areas of tenderness and
large masses or areas of distention

10

deep palpation

~4cm deep
used to delineate organs and
to identify less obvious masses

11

underweight

BMI <18.5

12

normal weight

BMI 18.5-24.9

13

Overweight

BMI 25-29.9

14

Obesity

BMI 30-39.9

15

Extreme obesity

BMI 40 or greater

16

waist circumference provides msmt of abd fat as independent prediction of risk for

DM II, dyslipidemia, HTN, and CVD in individual with BMI 25-39.9

17

in adult femaile, incr relative risk is indicated at a waist circumferece greater than

35 in

18

Primary lesions

occur as an initial, spontaneous rxn to an internal or external stimulus
(macule, papule, pustule, vesicle, wheal)

19

Secondary lesion

result from later evolution or trauma to a primary lesion
(ulcer, fissure, crust, scar)

20

Thyroid nl PE

palpable with no masses or tenderness, rists symmetrically with swallowing

21

Lymph node HEENT locations

preauricular, postauricular, occipital, tonsilar, submandibular, submental, superficail cervical, posterior and deep cervical chains, supraclavicular

22

Lymph node PE wnl

<1 cm, nontneder, mobile, soft, discrete

23

snellen chart used for what kind of vision

central

24

rosenbaum card used for what vision

near vision

25

impaired near vision

presbyopia

26

impaired far vision

myopia

27

Tragus tenderness may indicate

otitis externa

28

mastoid process tenderness may indicate

otitis media

29

Tympanic membrane PE wnl

intact, pearly gray, translucent, with cone of light at 5:00 and 7:00, umbo and handle of malleus visible; no bulging or retraction

30

decreased tactile fremitus

emphysema, asthma, pleural effusion