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Health Assessment Test #1 - UTMB.
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Health Assessment Test #1 - UTMB.
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Health Assessment Test #1 - UTMBWhat are the 5 vital signs that are normally taken? - correct answer-Temperature, Pulse,
Respirations, Blood pressure, and pain.
General Survey - correct answer-physical appearance, body structure, mobility, behavior
physical appearance - correct answer-Age: Appears to be stated age
Sex: sexual development appropriate for age
Level of Consciousness: Awake and alert, Oriented to PERSON, PLACE, TIME, AND
SITUATION
Skin color: color is even, pigment varying from genetic background, skin intact, no obvious
lesions
Facial Features: symmetric with movement
Overall Appearance: No signs of acute distress
How do we write orientation? What do they need to be oriented to? - correct answer-Person,
Place, Time, & Situation
AAOx4
If not oriented to all 4, specify which ones they are oriented to
Body Structure - correct answer-Stature
Nutrition,
Symmetry
Posture
Position
Body build
Contour
Obvious physical defomities
tripod position - correct answer--Leaning forward with the arms braced against on chair
arms, or against a bed.
- Chronic Pulmonary Disease
Mobility - correct answer-Gait: Feet approx. shoulder-width apart, foot placement accurate,
the walk is smooth and even, maintain balance without assistance. Also, have symmetric
Arm Swing.
Range of motion: Note full mobility for each joint and that movement is deliberate, accurate,
and smooth.
behavior - correct answer-facial expression:
mood and affect:
speech, dress:
personal hygiene:
, When repeated weights are needed..... - correct answer-aim for approximately the same
time of day and same type of clothing worn each time
Unexplained weight loss - correct answer-Short term illness, chronic illness
Unexplained weight Gain - correct answer-May indicate Fluid retention (heart failure)
Underweight (BMI) - correct answer-<18.5 kg/m2
Normal Weight (BMI) - correct answer-18.5-24.9 kg/m2
Overweight (BMI) - correct answer-25-29.9 kg/m2
Obesity Class 1 (BMI) - correct answer-30-34.9 kg/m2
obesity class 2 (BMI) - correct answer-35-39.9 kg/m2
Obesity Class 3 (BMI) - correct answer->/= 40 Kg/m2
waist circumference - correct answer-Tape should be around waist at level of iliac crest
If most weight is carried around waist instead of hips, the person has a higher risk for heart
disease & type 2 disease
Waist Cicufrance risk factors - correct answer-WC 35in women and 40in men increases risk
for type 2 diabetes, dyslipidemia,hypertension, and cardiovascular disease w/ people with a
BMI between 25 and 35.
Dyslipidemia - correct answer-Abnormally elevated cholesterol or fats (lipids) in the blood.
The Aging Adult (general survey & Measurement) - correct answer-Physical Appearance:
8th and 9th-decade body contour is sharper and more angular facial features
Posture: General flexion by 8th and 9th decade
Gait: Wider base to compensate for diminished balance, steps uneven and short, arms held
out for balance
Height: 80's and 90's= shorter due to thinning of the vertebral disk, shortening of individual
vertebrae, kyphosis, and slight flexion of knees.
Weight: Bodyweight decreases in 80's-90's. more evident in men due to greater muscle
shrinkage
hypopituitary dwarfism - correct answer-Deficiency in growth hormone in childhood results in
retardation of growth below the 3rd percentile, delayed puberty, hypothyroidism, and adrenal
insufficiency.
Gigantism - correct answer-Hypersecretion of growth hormone from the anterior pituitary
before puberty, leading to abnormal overgrowth of the whole body. If it occurs in childhood
before the closure of the bone epiphysis = increased height increased weight, and delayed
sexual development.
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