NUR 3066 Final Review
Abdominal Palpation Correct Answers Fundal Height
Fundus: top of uterus
-Palpable at 12 weeks gestation
Fundal Height= cm from symphysis to fundus
-After 20 weeks, cm= weeks of gestation
-In normal, singleton pregnancy
Abnormal Findings (MSK) Correct Answers Back Pain: most
common complaint, most vulnerable part of the skeleton is L5-
S1
Falls:
-At least 95% of hip fractures are associated with falls
-For those 65+ falls are leading cause of injury-related death
-Associated with poor balance, prior falls, poor muscle strength,
unfamiliar environment,
aging
-Interventions: functional status, prior falls, timed up and go
Osteoporosis: bone reabsorption is faster than deposition
Risk Factors: small bone frame, young age at menopause,
sedentary lifestyle, tobacco
use, alcohol intake, inadequate diet
Symptoms: fractures, sudden pain, falls, kyphosis
ADLs Correct Answers eating, feeding, bathing, grooming,
dressing, toileting, walking
Adolescent Sequence Correct Answers -Same as adult
-For well visits, keep in street clothes and work around them
,Aging Adult Correct Answers Young Old (65-74)
Middle Old (75-84)
Old Old (85+)
Ankles and Feet Correct Answers Inspect: swelling, deformity,
symmetry, lesion
Palpate: muscle tone, achilles tendon, interphalangeal joints,
anterior/posterior ankle
AROM: dorsiflexion, plantar flexion, inversion/eversion
Strength: strength against resistance, 'Step on the Gas', 'Pull your
foot up'
Annular Correct Answers circular (Example: ringworm)
Arterial Disease/Infussiciency Correct Answers -Slow healing
(if any), necrosis, cold/pale, peripheral weak pulses, hairless, dry
skin, often
diminished or no pulse, not usually edema
Auscultation Correct Answers -Carotid Arteries: exhale and
hold breath, use BELL
-Bruits: blow, swishing sound
-Precordium (listen in a 'z' pattern, use BELL & diaphragm
Aortic: 2nd ICS, RSB
Pulmonic: 2nd ICS, LSB
Erb's Point: 3rd ICS, LSB Tricuspid: 4th ICS, LSB
Mitral: 5th ICS, MCL
*PMI can be found at Mitral Location
Benign Breast Disease Correct Answers -Multiple tender
masses
, -Swelling and discomfort
-Nodularity
-Mastalgia
-Dominant lumps
-Nipple Discharge
-Infections and inflammations
-Round of lobular, firm/soft/rubbery, well demarcated
-Usually more than one but may be single, mobile, NO skin
retractions
-Tender and may have changes assoc. with menses, size changes
-Decrease incidence after 50 y/o associated with menopause
Blood Pressure Correct Answers Systolic= maximum pressure
during left ventricular contraction, TOP reading
Diastolic= recoil/resting pressure between each contraction,
BOTTOM reading
Pulse Pressure= difference between systolic and diastolic
pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses, medications,
current state
Breast Cancer Correct Answers -Cancer specific mutations-
BRCA 1 and 2
-A woman today is half as likely to die from breast cancer than
30 years ago
Mammography: American Cancer Society recommends annual
screening for at-risk women
40-44 years of age, and definite for 45
-Barriers: lower income, residence of lower-income, lower
education, unemployment,
pain, lack of health insurance
Abdominal Palpation Correct Answers Fundal Height
Fundus: top of uterus
-Palpable at 12 weeks gestation
Fundal Height= cm from symphysis to fundus
-After 20 weeks, cm= weeks of gestation
-In normal, singleton pregnancy
Abnormal Findings (MSK) Correct Answers Back Pain: most
common complaint, most vulnerable part of the skeleton is L5-
S1
Falls:
-At least 95% of hip fractures are associated with falls
-For those 65+ falls are leading cause of injury-related death
-Associated with poor balance, prior falls, poor muscle strength,
unfamiliar environment,
aging
-Interventions: functional status, prior falls, timed up and go
Osteoporosis: bone reabsorption is faster than deposition
Risk Factors: small bone frame, young age at menopause,
sedentary lifestyle, tobacco
use, alcohol intake, inadequate diet
Symptoms: fractures, sudden pain, falls, kyphosis
ADLs Correct Answers eating, feeding, bathing, grooming,
dressing, toileting, walking
Adolescent Sequence Correct Answers -Same as adult
-For well visits, keep in street clothes and work around them
,Aging Adult Correct Answers Young Old (65-74)
Middle Old (75-84)
Old Old (85+)
Ankles and Feet Correct Answers Inspect: swelling, deformity,
symmetry, lesion
Palpate: muscle tone, achilles tendon, interphalangeal joints,
anterior/posterior ankle
AROM: dorsiflexion, plantar flexion, inversion/eversion
Strength: strength against resistance, 'Step on the Gas', 'Pull your
foot up'
Annular Correct Answers circular (Example: ringworm)
Arterial Disease/Infussiciency Correct Answers -Slow healing
(if any), necrosis, cold/pale, peripheral weak pulses, hairless, dry
skin, often
diminished or no pulse, not usually edema
Auscultation Correct Answers -Carotid Arteries: exhale and
hold breath, use BELL
-Bruits: blow, swishing sound
-Precordium (listen in a 'z' pattern, use BELL & diaphragm
Aortic: 2nd ICS, RSB
Pulmonic: 2nd ICS, LSB
Erb's Point: 3rd ICS, LSB Tricuspid: 4th ICS, LSB
Mitral: 5th ICS, MCL
*PMI can be found at Mitral Location
Benign Breast Disease Correct Answers -Multiple tender
masses
, -Swelling and discomfort
-Nodularity
-Mastalgia
-Dominant lumps
-Nipple Discharge
-Infections and inflammations
-Round of lobular, firm/soft/rubbery, well demarcated
-Usually more than one but may be single, mobile, NO skin
retractions
-Tender and may have changes assoc. with menses, size changes
-Decrease incidence after 50 y/o associated with menopause
Blood Pressure Correct Answers Systolic= maximum pressure
during left ventricular contraction, TOP reading
Diastolic= recoil/resting pressure between each contraction,
BOTTOM reading
Pulse Pressure= difference between systolic and diastolic
pressures and reflects stroke volume
Causes of Abnormalities: medical diagnoses, medications,
current state
Breast Cancer Correct Answers -Cancer specific mutations-
BRCA 1 and 2
-A woman today is half as likely to die from breast cancer than
30 years ago
Mammography: American Cancer Society recommends annual
screening for at-risk women
40-44 years of age, and definite for 45
-Barriers: lower income, residence of lower-income, lower
education, unemployment,
pain, lack of health insurance
