Lifespan TEST 2 Flashcards
(20 cards)
What are key concepts related to errors in clinical observation?
Every observation has sensitivity and specificity; assurance if something is to be found, it will be; if it is found, it is true.
Why is uncertainty inherent in clinical evaluation?
Error increases uncertainty; findings can’t always be expressed in numbers; probabilities are unavoidable.
What measurements are reviewed during the adult/adolescent PE?
Height, weight, BMI, vitals, vision, hearing.
What is examined when the patient is seated with chest exposed?
Anterior chest, lungs, heart, breasts.
What is assessed when the patient is reclining at 45 degrees?
Chest, jugular venous pulsations, right jugular venous pressure.
What is assessed with patient supine and chest exposed?
Female breasts, heart.
What is assessed with patient supine and abdomen exposed?
Abdomen, inguinal area, male external genitalia.
What is assessed when the patient is sitting with lap draped?
Musculoskeletal, neurologic.
What is assessed when the patient is standing?
Spine, neurologic, abdomen, external genitalia.
What is the lithotomy position used to assess in females?
External and internal genitalia.
What is assessed when the male is bent forward or in lateral decubitus?
External genitalia, rectal exam, rectal culture (if appropriate).
What is included in the newborn exam?
Apgar score, gestational age, anomalies, awareness, posture, skin, facies, palpate fontanels, extremities, abdomen.
What is the sequence for infant examination?
General inspection, chest/lungs/heart, abdomen, head/neck, extremities, genitals/rectum, neurologic, back, behavior.
What steps should be taken during the pediatric physical exam?
Observe parent-child connection, be flexible, inspect while child plays, use parent’s lap for exam.
What is the sequence of exam for children?
Extremities/head/neck → chest/heart/lungs → abdomen/genitals → spine/gait → eyes/ears/nose/mouth/pharynx.
Which technique would the nurse employ to assess a patient’s adnexa?
Bimanual palpation
Which abnormality would the nurse assess with the patient in a standing position?
Femoral hernia
Which instrument would the nurse use at the end of a pediatric examination?
Fundoscopy
Which action would the nurse perform when assessing an infant’s chest, lungs, and heart?
Locate the apical impulse
Stroking the side of an infant’s mouth would elicit which reflex?
Rooting reflex
