Nurs 313 Quiz 3 Questions With Complete Solutions
Contour of bellies
Flat, scaphoid, rounded, protuberant (pregnancy)
What is abdominal distension
caused by obesity, air or gas, ascites, cyst, pregnancy
How long to listen to bowel sounds
up to 5 minutes, normal is 5-30 a minute
What are the auscultation bowel sound types?
hyperactive, hypoactive, borborygmus, absent (nothing for 5
minutes)
Whats a bruit
blood flow through arteries, abnormal (arteries)
Where are the abdominal arteries founds and called?
Right renal (URQ), Right iliac (RLQ), Aorta and left renal
(LUQ), Left renal (LLQ)
Percussion of abdomen- what is tympany
should predominate, mostly air filled
Palpation tecnique
start with light, then deep always palpate tender area LAST
Common physical examination tests for the abdomen
, -Rebound tenderness, applying pressure tot he abdomen (if no
pain after releasing=normal, pain= peritonitis)
-Blumberg sign: rebound tenderness of the RLQ to pressure
from the LLQ (appendicitis)
-Illiopasoas muscle test= RLQ pain may be appendicitis: push
down on lifted leg
Developmental considerations of abdomen for children, infants,
during pregnancy
children: looks protuberant, maybe constipated
infants: pass 1st poop (meconium) after 24 hrs, jaundice
Pregnancy: fetal movements, fundal heights
Anus and rectum
Anal canal: outlet of GI, no hair, voluntary
Rectum: distal large intestine
What to ask about bowel routine and rectal bleeding
frequency, stool, pain, changes
Rectal bleeding: blood, odor, duration, onset
How to inspect perianal area
spread buttocks wide apart, anus is usually is moist and hairless
Inspect coccyx area, should be smooth an even, instruct pt to
bear down and hold breath
Rectal exam positions
standing leaning over, left lateral, lithotomy
Prostate gland structure
Contour of bellies
Flat, scaphoid, rounded, protuberant (pregnancy)
What is abdominal distension
caused by obesity, air or gas, ascites, cyst, pregnancy
How long to listen to bowel sounds
up to 5 minutes, normal is 5-30 a minute
What are the auscultation bowel sound types?
hyperactive, hypoactive, borborygmus, absent (nothing for 5
minutes)
Whats a bruit
blood flow through arteries, abnormal (arteries)
Where are the abdominal arteries founds and called?
Right renal (URQ), Right iliac (RLQ), Aorta and left renal
(LUQ), Left renal (LLQ)
Percussion of abdomen- what is tympany
should predominate, mostly air filled
Palpation tecnique
start with light, then deep always palpate tender area LAST
Common physical examination tests for the abdomen
, -Rebound tenderness, applying pressure tot he abdomen (if no
pain after releasing=normal, pain= peritonitis)
-Blumberg sign: rebound tenderness of the RLQ to pressure
from the LLQ (appendicitis)
-Illiopasoas muscle test= RLQ pain may be appendicitis: push
down on lifted leg
Developmental considerations of abdomen for children, infants,
during pregnancy
children: looks protuberant, maybe constipated
infants: pass 1st poop (meconium) after 24 hrs, jaundice
Pregnancy: fetal movements, fundal heights
Anus and rectum
Anal canal: outlet of GI, no hair, voluntary
Rectum: distal large intestine
What to ask about bowel routine and rectal bleeding
frequency, stool, pain, changes
Rectal bleeding: blood, odor, duration, onset
How to inspect perianal area
spread buttocks wide apart, anus is usually is moist and hairless
Inspect coccyx area, should be smooth an even, instruct pt to
bear down and hold breath
Rectal exam positions
standing leaning over, left lateral, lithotomy
Prostate gland structure
