Assessment Through The Life Span Flashcards
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| 5425845861 | Total US population | 311 million -1/7 immigrant | 0 | |
| 5425851034 | What is the percent is the minority in the US? | 37% -largest is Hispanic (16.7%) | 1 | |
| 5425871740 | What is the biggest determinant of Health? | poverty: do not have financial means to take care of medical needs | 2 | |
| 5425875847 | How do you measure the disparity between vulnerable populations? | measure % difference of one group and compare to best group for disease | 3 | |
| 5425883189 | Vulnerable populations | LGBT minorities | 4 | |
| 5428613657 | Effective Care | results in positive outcomes and satisfaction for the patient | 5 | |
| 5428615590 | Respectful Care | takes into consideration the values, preferences, and expressed needs of the patient | 6 | |
| 5428617499 | Cultural and Linguistic Competence | set of congruent behaviors, attitudes, and policies that come together in a system among professionals that enables work in cross-cultural situations | 7 | |
| 5428629715 | What are the four characteristics of culture? | -learned -shared -adapted -dynamic | 8 | |
| 5428634327 | Learned | what we have since birth -language acquisition -socialization | 9 | |
| 5428639214 | Shared | shared by all members of the same cultural group | 10 | |
| 5428639215 | Adapted | adapted to specific conditions related to environmental and technical factors and to the availability of natural resources | 11 | |
| 5428639216 | Dynamic | ever changing | 12 | |
| 5428651015 | Health is the balance of the person | physically, mentally, and spiritually | 13 | |
| 5428659134 | Someone from the Ugandan culture may see epilepsy as a reason to be shamed, contagious, untreatable. Mexicans see it as a sign of a spirit entering the body. | 14 | ||
| 5428667501 | In what three ways can the causes of illness be evaluated? | -biomedical -naturalistic/holistic -magicoreligious | 15 | |
| 5428670698 | Biomedical | assumes all events have a cause and effect; the body functions mechanically -germ theory | 16 | |
| 5428673420 | Naturalistic/Holistic | forces of nature must be kept in balance or harmony -yin/yang theory -hot/cold theory | 17 | |
| 5428681452 | Magicoreligious | the world is an arena in which supernatural forces dominate -voodoo/witchcraft -faith healing | 18 | |
| 5428707194 | Cultural Formulation Model (Assessment) | -Cultural Identity & Background -Cultural Explanations for Issues -Cultural Factors Related to Psychosocial Environment & Levels of Functioning -Cultural Elements Affecting Clinician-Patient Relationship -Overall Cultural Assessment for Accurate Diagnosis and Treatment | 19 | |
| 5428723138 | Presumptive Signs | those that the woman experiences -amenorrhea -breast tenderness -nausea -fatigue -increased urinary frequency | 20 | |
| 5428723139 | Probable signs | those detected by the examiner -enlarged uterus | 21 | |
| 5428723140 | Positive Signs | direct evidence of the fetus -auscultation of fetal heart tones (FHTs) -positive cardiac activity on ultrasound (US) | 22 | |
| 5428748182 | First Trimester is weeks __________. | 1-12 | 23 | |
| 5428750402 | Common signs & Sx of FIRST TRIMESTER | -missed menses, hCG detected in urine -breast tingling & numbness (rising estrogen) -nausea & vomiting -fatigue (decreased in metabolic rate to take care of baby) -urinary frequency -BP decreased -FHT heard with doppler | 24 | |
| 5428760010 | When can hCG be detected in serum? | 8-10 days after conception | 25 | |
| 5428767891 | When does BP begin to drop? | 7th gestational week until week 20 -falling PVR | 26 | |
| 5428775411 | When can you hear FHT with the doppler ultrasound? | 9-12 weeks | 27 | |
| 5428783651 | The uterus may be palpated just above the symphysis pubis at about ______ weeks. | 12 | 28 | |
| 5428786458 | Second trimester is weeks ___________. | 13-27 | 29 | |
| 5428788639 | Common signs & Sx of SECOND TRIMESTER | -fetal movement (weeks 18-20) -colostrum produced -midline abnormal as skin is pigmented -BP drop, dizziness/faintness -constipation (progesterone) -dyspnea -gingivitis -heartburn/indigestion | 30 | |
| 5428801746 | Colostrum is yellow, made of mostly vitamins or minerals? | minerals (more than protein) | 31 | |
| 5428804432 | Colostrum has less _________ than in regular milk. | sugar and fat | 32 | |
| 5428815860 | What is the abnormal pigmenting of the skin along the midline called? | linea nigra | 33 | |
| 5428821544 | These are more commonly called "stretch marks" | striae gravidarum | 34 | |
| 5429020650 | What is chloasma? | mask of pregnancy, a butterfly shaped pigmentation of the face | 35 | |
| 5428827964 | What causes increased respiratory efforts? Why? | progesterone and estrogen -increase Tidal Volume | 36 | |
| 5428833966 | Increased Tidal Volume causes slight drop in | arterial CO2 -dyspnea | 37 | |
| 5428843209 | Third Trimester is weeks _________. | week 28-delivery | 38 | |
| 5428911705 | Common signs & Sx of THIRD TRIMESTER | -BP rises -shortness of breath (uterus rises, decreases diaphragm, decreased space for lung expansion) -increased pulse -edema (feet) -variscosities -Lordosis -constipation/hemorrhoids -murmurs: increased blood flow | 39 | |
| 5428920493 | Blood volume of pregnant women will be approx. _____% more than it was pre-pregnancy. | 45% | 40 | |
| 5428931882 | The heart might displace to the _________ | left -CO, Stroke volume, force of contractions INCREASED | 41 | |
| 5428935102 | The increase in blood volume may cause | grade 2 or less systolic murmur | 42 | |
| 5428947244 | What is engagement? | When the baby drops or fetus moves down into pelvis | 43 | |
| 5428941910 | ______ weeks before going into labor, the woman experiences engagement /dropping /lightening. | 2 | 44 | |
| 5428961283 | During engagement, women are at risk for | Prenclampsia -protein in urine, risk for seizure or stroke | 45 | |
| 5428953970 | In preparation for labor what does the cervix do? | begins to thin (efface) and open (dilate) | 46 | |
| 5428963924 | How do you calculate due date? | expected date of delivery = 280 days from last period -first day of last period, add 7 days, subtract 3 months (Nagele's Rules) | 47 | |
| 5428975562 | Teenage pregnancies have increased or decreased? | decreased (42%) because of contraceptives | 48 | |
| 5428977204 | Each year there are about ____________ teens between 17-19 that still get pregnant | 750,000 | 49 | |
| 5428984380 | What fraction of pregnant teens are 18-19? | 2/3 | 50 | |
| 5428986892 | What percent of teenage pregnancies are unplanned? | 82% | 51 | |
| 5428992012 | We want to do a _____________ assessment because they are at risk for poverty...so on. | psychosocial | 52 | |
| 5428996290 | Many people are delaying childbearing until | over 35 | 53 | |
| 5428999402 | Risk for Down Syndrome is _________ at 25 yrs. It increases to ______________ at 45yrs. | 25: 1/1250 45: 1/30 | 54 | |
| 5429008624 | Women over 35 should be encouraged to use | genetic screening | 55 | |
| 5429016382 | Genetic Disorders | diseases or defects that the baby inherits from the genes or the chromosomes of one or both parents | 56 | |
| 5429030932 | Parents may be carriers of | -Cystic Fibrosis -Tassaychs (Jewish, Eastern EU) -Sickle Cell Anemia (African) | 57 | |
| 5429036208 | Gestational Diabetes differs by | race and ethnicities | 58 | |
| 5429038804 | Assessment of the Pregnant patient includes | -menstrual, gynecologic, obstetric, medical, nutritional histories -current pregnancy -review of systems -environment/hazard exposure | 59 | |
| 5429054825 | Is sex okay during pregnancy? | Yes | 60 | |
| 5429065073 | T or F: mental health disorders are improved with changing hormones during pregnancy. | FALSE: they are probably worsened or exacerbated. | 61 | |
| 5429076266 | What foods should you avoid during pregnancy? | -fish: seafish, swordfish, mackerel (mercury: neuro probs) -raw eggs -soft cheesed -unpasteurized dairy or sliced meat (listeria, salmonella, toxic plasmosis) | 62 | |
| 5429085726 | What are the key nutritional values in prenatal vitamins? | folic acid and iron | 63 | |
| 5429091884 | T or F: you shouldn't wear a seatbelt because it may harm the baby. | FALSE | 64 | |
| 5429095754 | A pregnant woman's first office visit includes what type of exam? | pelvic exam -anxiety -assess baseline BP at end of visit Fundal height measurements Fetal Heart Tones (FHT) | 65 | |
| 5429109715 | When assessing fundal height measurements, the cm should be equivalent to what? | # in gestational weeks | 66 | |
| 5429123709 | A pregnant patient of 20 gestational weeks has her fundal height measured, it is 18cm. The nurse would conclude A. This is a normal finding. B. This is abnormal as the cm is higher than normal. C. This is abnormal as the cm is lower/not equal to the week. | C. -cm should = gestational week -indicative of interuterine growth restriction | 67 | |
| 5429133099 | A nurse concludes that the pregnant woman's fundal height is indicative of Inter-uterine Growth Restriction. This means one of two things: | 1. Baby is not growing as it should (slow growth) 2. Transverse or Oblique Position | 68 | |
| 5429140174 | A pregnant woman of 20 gestational weeks has a fundal height of 24 cm. The excess 4cm may indicate what? | 1. More than one baby. 2. Excess amniotic fluid 3. uterine mioma | 69 | |
| 5429104745 | We want to assess Deep Tendon Reflexes during the first visit because greater than ______+ may be associated with an elevated BP. | 2+ | 70 | |
| 5429161259 | Normal heart rate for fetus | 110-160 beats per minute | 71 | |
| 5429168951 | Currently what generation is getting older? | Baby Boomers -larger percent of population | 72 | |
| 5429170413 | Functional Ability refers to | ADLs: Activities of Daily Living -eating/feeding -bathing -grooming -dressing -toileting -walking/using stairs -telephone -driving -personal tasks | 73 | |
| 5429179012 | Functional assessment includes what three domains? | -ADL's -IADL's (Instrumental activities of daily living) -mobility | 74 | |
| 5429191490 | Two ways to perform functional assessment: | -ask individuals about their abilities -observe them perform abilities | 75 | |
| 5429189512 | What is the BEST way to assess functional ability? | OBSERVE | 76 | |
| 5429199386 | What should we use to document physical ability and function in older adults/chronically ill? | Katz Index of Independence in ADL -takes 5min -point system: 6 high, 0 low | 77 | |
| 5429206466 | Independent Activities of Daily Living (IADLs) include | -shopping -meal prep -housekeeping -laundry -managing finances -taking meds -using transportation | 78 | |
| 5429210953 | What should we use to document IADLs? | The Lawton IADL Scale -higher order components -more complex -8 items -final score less important, more about where assistance is needed -for most suitable living conditions | 79 | |
| 5429242647 | What additional assessments do we want to complete with older adult patients? | -cognitive (3 D's) -Depression -Caregiver -Environmental -Spiritual -Pain | 80 | |
| 5429228848 | Altered cognition in older adults is commonly attributed to what three disorders? | THE THREE D's -Dementia -Delirium -Depression | 81 | |
| 5429232822 | Depression | -very common, but not normal -sadness because of loss -care givers, adult children | 82 | |
| 5429246896 | When completing Environmental assessment, we want to look for | -inadequate lighting -fall risk: railings or grab bars, throw rugs -driving ability: how quickly can they respond to things? -sleep: excessive or little? cause of meds, pain, fear | 83 | |
| 5429265300 | A geriatric patient uncomfortably participates in your assessments, but is in pain. What should you do? A. Complete the assessment first, then go back and ask. B. Ignore it as older adults feel pain more frequently. C. Make this your first priority. | C | 84 |