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Advanced Health Assessment of Women 4th Edition by Helen A. Carcio - Ch. 1-46,
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Advanced Health Assessment of Women 4th Edition by Helen A. Carcio - Ch. 1-46,
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Test Bank: Advanced Health Assessment of Women 4thEdition by Helen A. Carcio - Ch. 1-46, 9780826124241,
with Rationales
BMI Classifications - ANSWER: Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI? - ANSWER:
Stages of HTN - ANSWER: Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Waist Circumference - ANSWER: Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves - ANSWER: 1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test - ANSWER: Stand with hands to the sides and eyes closed, observe swaying
Pronator Drift - ANSWER: Stand with arms out, eyes closed, and hands supine -- watch for hands
pronating.
Graphesthesia - ANSWER: The inability to recognize numbers written on the hand. Suggests a lesion in
the sensory cortex.
Astereognosis: - ANSWER: Inability to recognize objects placed in the hand
Kernig - ANSWER: Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the
knee during full extension should not cause pain.
, Brudzinski - ANSWER: Pt supine, your hands behind pt's head and flex the neck forward, until chin
touches the chest if possible. Neck stiffness with resistance and flexion of hips and knees is a positive
sign. May be a sign of acute bacterial meningitis or subarachnoid hemorrhage
Straight Leg Raising - ANSWER: Lift the straight leg, if pt has low back pain with nerve pain that
radiates down the leg = sciatica from compression of the spinal nerve root as it passes through the
vertebral foramen
Plantar (Babinski) Reflex - ANSWER: Dorsiflexion of the big toe is a positive Babinski response from a
CNS lesion in the corticospinal tract
Finkelstein Test - ANSWER: Pt grabs thumb with hand and you pull down to see if there is tendon
tenderness - if positive, might mean tendonitis
Tinel's Sign - ANSWER: Tap on the Median Nerve
Phalen's Test - ANSWER: Bend wrists at 90 degrees and put back of hands against each other for 1
minute and see if there is numbness/tingling
Ballotment - ANSWER: Leg extended, compress the suprapatellar pouch and then push the patella
sharply against the femur, watching for fluid returning to the pouch
Bulge Sign - ANSWER: Knee extended, hand on knee above the patella and milk downward. Apply
medial pressure and tap laterally. Watch for a fluid wave
Drawer Sign - ANSWER: Pt supine with knee flexed, your thumbs at the medial/lateral joint line and
fingers wrapped around. Then sharply push/pull, watching for laxity
McMurray Test - ANSWER: Pt supine with knee flexed, one hand medial knee and the other medial
ankle. Extend the leg and laterally rotate, watching for clicking
Directions for Self-Breast Exam - ANSWER: 5-7 days after period OR same time every month for
menopausal women. Lawn Mower pattern
What Abdominal locations do you listen for bruits with the Bell of the stethoscope? - ANSWER: Aoritc,
Illiac, Femoral
What Abdominal locations do you listen for bruits with the diaphragm of the stethoscope? - ANSWER:
Epigastric and Renal
Murphey's Sign - ANSWER: Assessing gallbladder, pt will stop breathing d/t pain when pushing up on
the liver if positive.
Rovsing's Sign - ANSWER: Pressure on LLQ causes referred pain in RLQ
Rebound Tenderness - ANSWER: Pain in RLQ increases when pressure is released quickly
Psoas Sign - ANSWER: Place hand just above right knee and ask pt to raise that thigh against your
hand and turn onto the left side. then extend the right leg at the hip.Flexion of th leg at the hip makes
the psoas muscle contract; extension stretches it. Increased abd pain with either maneuver
constitutes a positive sign
Obturator Sign - ANSWER: Flex pt's right thigh at the hip, with knee bent, and rotate the leg internally
at the hip. It stretches the internal obturator muscle. Right hypogastric pain = positive sign
Normal size of aorta - ANSWER: under 3 cm
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