BSMCON NUR 2102 - Final Cumulative Exam
- sudden gush of fluid before term
- signs of preeclampsia
- inc. BP, Epig. Pain, proteinuria
- severe backache/ flank/ any pain
- changes in fetal movement
- uterine ctx. activity before term Correct Answers
Danger/warning signs in 2nd and 3rd trimester
-bend pt knees
-pt breathe through mouth
-warm, comfortable environment
-painful areas last Correct Answers Identify 4 different ways
to make patient feel more comfortable during abdominal
palpation
-breasts look pendulous, flattened, and sagging
-nipples may be retracted, but can be pulled outward.
-breasts feel more granular and the terminal ducts more
prominent, nodular and stringy.
-Reinforce BSE * increased Br. Cancer risk Correct Answers
Geriatric considerations: breast
-Colorectal cancer education about risks and screening
-Education about food handling in retail areas and in the home
-Education about food labeling and preparation
-Screening
-Education about hepatitis
,-Immunization programs Correct Answers Healthy People
2020 actions
-Diabetes
-heart disease
-heart attack
-Hyperlipidemia
-hypertension Correct Answers CV considerations: genetics
and genomics
-First day of LMP
-Subtract 3 months
-Add 7 days Correct Answers Nagele's Rule
-General health and nutritional status
-Hx of head injury, trauma, or neuro disease
-Smoking hx
-Substance use/abuse
-Educational level
-Social support
Everything slows down or goes down! Decrease in memory,
cognition, sensory processing, balance, taste, smell, muscle
bulk, slower movements, longer recall, loss of vibration sense at
ankle level, decrease position sense, DTRs less brisk
Things that increase: senile tremors, dyskinesias Correct
Answers Geriatric considerations: neuro & musculoskeletal
-Production of saliva and stomach acid is reduced
-Gastric motility and peristalsis slows
,-Changes in dentation
-Chewing difficulties, accompanied by limited financial
resources › altered dietary choices
-Generally muscle mass and tone is reduced
-Fat accumulates in the suprapubic area in females
-Males develop fat deposits in the abdominal area
-Incidence of gallstones increases
-Liver size decreases, liver function declines
-Delayed rectal emptying and constipation
-Gastric acid secretion decreases (may cause pernicious anemia
(because it interferes with vitamin B12 absorption), iron
deficiency anemia, and malabsorption of calcium).
EEEVERYTHING SLOWS DOWN, DECREASES, REDUCES
*except* incidence of gallstones Correct Answers Older Adult
considerations: GI system
-Store food, mix food with gastric secretions, empty contents
into the small intestine
-Absorbs only small amounts of water, alcohol, electrolytes and
drugs
-Secretes HCL acid, water, mucus, intrinsic factor (Vitamin B
12 absorption in the small intestine) Correct Answers
Functions of the stomach
-Systolic BP rises
-Orthostatic hypotension
-AP diameter increases
-S4 without underlying pathology
-Systolic murmurs
, -Occasional premature ectopic beats without underlying
pathology Correct Answers Physiological changes in CV
system associated with aging
-Temperature
-Edema
-Capillary refill
-Size/symmetry Correct Answers 4 things to notice when
assessing (palpating) extremities
*retroperitoneal* on either side of the vertebral column between
T12 and the L3 vertebra Correct Answers Location of the
kidneys
#1 thing in pain assessment Correct Answers "Tell me about
your pain"
< 2 seconds Correct Answers Normal capillary refill
<200 mg/dL Correct Answers preferred total cholesterol level
> 55 years
Male sex
African-American
Hypertension
Smoking
Drinking
Sleep apnea
Drug abuse
High estrogen levels
Overweight
- sudden gush of fluid before term
- signs of preeclampsia
- inc. BP, Epig. Pain, proteinuria
- severe backache/ flank/ any pain
- changes in fetal movement
- uterine ctx. activity before term Correct Answers
Danger/warning signs in 2nd and 3rd trimester
-bend pt knees
-pt breathe through mouth
-warm, comfortable environment
-painful areas last Correct Answers Identify 4 different ways
to make patient feel more comfortable during abdominal
palpation
-breasts look pendulous, flattened, and sagging
-nipples may be retracted, but can be pulled outward.
-breasts feel more granular and the terminal ducts more
prominent, nodular and stringy.
-Reinforce BSE * increased Br. Cancer risk Correct Answers
Geriatric considerations: breast
-Colorectal cancer education about risks and screening
-Education about food handling in retail areas and in the home
-Education about food labeling and preparation
-Screening
-Education about hepatitis
,-Immunization programs Correct Answers Healthy People
2020 actions
-Diabetes
-heart disease
-heart attack
-Hyperlipidemia
-hypertension Correct Answers CV considerations: genetics
and genomics
-First day of LMP
-Subtract 3 months
-Add 7 days Correct Answers Nagele's Rule
-General health and nutritional status
-Hx of head injury, trauma, or neuro disease
-Smoking hx
-Substance use/abuse
-Educational level
-Social support
Everything slows down or goes down! Decrease in memory,
cognition, sensory processing, balance, taste, smell, muscle
bulk, slower movements, longer recall, loss of vibration sense at
ankle level, decrease position sense, DTRs less brisk
Things that increase: senile tremors, dyskinesias Correct
Answers Geriatric considerations: neuro & musculoskeletal
-Production of saliva and stomach acid is reduced
-Gastric motility and peristalsis slows
,-Changes in dentation
-Chewing difficulties, accompanied by limited financial
resources › altered dietary choices
-Generally muscle mass and tone is reduced
-Fat accumulates in the suprapubic area in females
-Males develop fat deposits in the abdominal area
-Incidence of gallstones increases
-Liver size decreases, liver function declines
-Delayed rectal emptying and constipation
-Gastric acid secretion decreases (may cause pernicious anemia
(because it interferes with vitamin B12 absorption), iron
deficiency anemia, and malabsorption of calcium).
EEEVERYTHING SLOWS DOWN, DECREASES, REDUCES
*except* incidence of gallstones Correct Answers Older Adult
considerations: GI system
-Store food, mix food with gastric secretions, empty contents
into the small intestine
-Absorbs only small amounts of water, alcohol, electrolytes and
drugs
-Secretes HCL acid, water, mucus, intrinsic factor (Vitamin B
12 absorption in the small intestine) Correct Answers
Functions of the stomach
-Systolic BP rises
-Orthostatic hypotension
-AP diameter increases
-S4 without underlying pathology
-Systolic murmurs
, -Occasional premature ectopic beats without underlying
pathology Correct Answers Physiological changes in CV
system associated with aging
-Temperature
-Edema
-Capillary refill
-Size/symmetry Correct Answers 4 things to notice when
assessing (palpating) extremities
*retroperitoneal* on either side of the vertebral column between
T12 and the L3 vertebra Correct Answers Location of the
kidneys
#1 thing in pain assessment Correct Answers "Tell me about
your pain"
< 2 seconds Correct Answers Normal capillary refill
<200 mg/dL Correct Answers preferred total cholesterol level
> 55 years
Male sex
African-American
Hypertension
Smoking
Drinking
Sleep apnea
Drug abuse
High estrogen levels
Overweight
