WGU HEALTH ASSESSMENT

WGU HEALTH ASSESSMENT



Subjectivebgdatabg-bganswers--Saidbgbybgthebgclientbg(S)



Obejectivebgdatabg-bganswers--Observedbgbybgthebgnursebg(O)



AssessmentbgTechniquesbgisbgasbgfollowsbg-bganswers--Inspect-Palpation-Percussion-Auscultation



OrderbgofbgAbdomenbgAssessmentbg-bganswers--Inspect-Auscultation-Percuss-Palapate



Inspectionbg-bganswers--*alwaysbgfirst*

1.bgTakebgtimebgtobgobservebgwithbgeyesbgearbgnosebg

2.Usebggoodbglighting

3.Lookbgatbgcolorbgshapebgsymmetrybgposition

4.Observebgforbgodorsbgfrombgskinbgbreathbgwound

5.bgDevelopbgandbgusebgnursingbginstincts

6.Inspectionbgisbgdonebgalonebgandbginbgcombinationbgwithbgotherbgassessmentbgtechniuqes



Backbgofbghandbg-bganswers--Tobgassessbgskinbgtemperaturebguse



DeepbgPalpationbg-bganswers--5-8cmbgorbg(2-3")bgdeepbgisbgconsidered



LightbgPaplpationbg-bganswers--1cmbgdeepbgisbgconsidered

,Percussionbg-bganswers--soundsbgproducedbgbybgstrikingbgbodybgsurface

soundsbgarebgdullbgresonantbgflatbgtympanic

actionbgisbgperformedbginbgthebgwrist



Ausculationbg-bganswers--listeningbgtobgsoundsbgproducedbgbybgthebgbody



Bellbg-bganswers--picksbgupbglowbgpitchedbgsoundsbgsuchbgasbgheartbgmurmurs



GeneralbgSurveybg-bganswers--
isbganbgoverallbgreviewbgorbgfirstbgimpressionbgabgnursebghasbgofbgperson'sbgwellbgbeing.



Appearancebg-bganswers--appearsbgtobgbebgreportedbgage

sexualbgdevelopmentbgappropriate

alertbgandbgoriented

facialbgfeaturesbgsymmetric

nobgsignsbgofbgacutebgdistress



BodybgStructure/mobiltybg-bganswers--weightbgandbgheightbgWNLbgBMIbgguidelines

bodybgpartsbgequalbgbilaterally

standsbgerect

sitsbgcomfortably

gaitbgisbgcoordinated

walkbgisbgsmoothbgandbgwellbgbalanced

fullbgmobilitybgofbgjoints



Behaviorbg-bganswers--maintainsbgeyebgcontactbgwithbgappropriatebgexpressions

comfortablebgandbgcooperative

speechbgclear

clothingbgisbgcorrectbgforbgclimate

, looksbgcleatbgandbgfit

appearsbgcleanbgandbgwellbggroomed



Comprehensivebghistorybg-bganswers--
whichbgincludesbgchiefbgcomplaintbgorbgreasonbgforbgthebgvisitbgabgcompletebgreviewbgofbgsystemsbgand
bgcompletebgpastbgfamilybgandbgsocialbghistorybgshouldbgbebgobtainedbgonbgthebgfirstbgencounterbgwithb
gabgpatientbgregardlessbgofbgsettingbgandbgbybgabgRN




FamilybgHealthbgHxbg-bganswers--
Arebgcompletedbgacrossbgthreebggenerationsbglookingbgspecificallybgforbgpatternsbginbggeneticbgissuesbgt
hatbgnegativelybgimpactbgqualitybgofbglife



HealthbgHxbg-bganswers--
givesbgabgpicturebgofbgpatient'sbgcurrentbghealthbgandbgdocumentationbgmustbgbebgcompletedbgforbgeac
hbgvisitbgandbgorbgassessment



Howbgtobgmeasurebgheightbglessbgthanbg2bgyearsbgofbgagebg-bganswers--
Obtainbgheightbgbybgmeasuringbgthebgrecumbentbglengthbgofbgchildrenbglessbgthanbg2bgyearsbgofbgagebg
and

childrenbgbetweenbg2bgandbg3bgwhobgcannotbgstandbgunassisted.bgAbgmeasuringbgboardbgwithbgabgstati
onarybgheadboardbgandbgabgslidingbgverticalbgfootbgpiecebgisbgideal,bgbutbgabgtapebgmeasurebgcanbgalsob
gbebgused

a)bgLaybgthebgchildbgflatbgagainstbgthebgcenterbgofbgthebgboard.bgThebgheadbgshouldbgbebgheldbgagainstb
gthe

headboardbgbybgthebgparentbgorbganbgassistantbgandbgthebgkneesbgheldbgsobgthatbgthebghipsbgandbgkne
esbgarebgextended.bgThebgfootbgpiecebgisbgmovedbguntilbgitbgisbgfirmlybgagainstbgthebgchild'sbgheels.bgRe
adbgandbgrecordbgthebgmeasurementbgtobgthebgnearestbg1/8bginch.

b)bgAbgmodifiedbgtechniquebginbghomebgsettingsbgisbgtobglaybgthebgchildbgflatbgandbgstraightbgwherebgth
ebgheadbgshouldbgbebgheldbgbybgthebgparentbgandbgthebgkneesbgheldbgsobgthatbgthebghipsbgandbgkneesb
garebgextended,bgmarkbgthebgflatbgsurfacebgatbgthebgtopbgofbgthebgheadbgandbgtipbgofbgthebgheels.bgMov
ebgchildbgandbgmeasurebgthebgdistancebgbetweenbgthebgmarksbgwithbgabgtapebgmeasure.bgReadbgandbgr
ecordbgthebgmeasurementbgtobgthebgnearestbg1/8bginch

2.bgWhenbgabgrecumbentbglengthbgisbgobtainedbgforbgabgtwobgyearbgold,bgitbgshouldbgbebgplottedbgonbgt
hebgbirthbgtobg36bgmonthsbggrowthbgchart.bgWhenbgabgstandingbgheightbgisbgobtainedbgforbgabgtwobgye
arbgold,bgplotbgthebgfindingbgonbgthebg2bgyearbgtobg18bgyearbgchart.bgAfterbgplottingbgmeasurementsbgfo
rbgchildrenbgonbgagebgandbggenderbgspecificbggrowthbgcharts,bgevaluate,bgeducatebgandbgreferbgaccordin
gbgtobgfindings.