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NUR3106 Exam 2 Questions And 100% Correct Answers
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NUR3106 Exam 2 Questions And 100% Correct Answerswhat bones are in the head?
- skull
- cranial bones: frontal, parietal, occipital, temporal
- 14 facial bones with one moveable joint: temporomandibular joint (where jaw joins the
ear)
know the location of the: temporal artery, parotid gland, submandibular gland, and
internal and external jugular veins
describe the thyroid
- the gland has 2 lobes, connected in the middle
- the cricoid cartilage sits on top
thyroid cartilage above that, with small palpable notch in upper edge
what can be some subjective assessments we can make?
headache: ask "where is it located?" "how often is it occurring?"
head injury: "have you been vomiting?" "have you had any trauma to the head. if so,
when? what happened?"
izziness: "does the room seem like its spinning?" "are you losing balance?
Neck trauma- "Have you ever injured your neck?" "When was it and what?";
,Lumps/Swelling - "Do you have any lumps or masses?" "Has it fluctuated in colour, size,
shape, contour, etc?";
Surgery- "Have you undergone any recent surgery? If so, what and when?
asking about infants: route of delivery vaginal or C section and parental ultra sounds.
this will tell us whether trauma occurred before or during birth of the infant
describe inspection
objective
-head: size, shape, symmetry. look for obvious lumps or deformities
-face: alignment of facial features, symmetry of features, extra involuntary movements,
expression
-neck: symmetry of muscular structures, erect and midline position, neck vein distention
describe palpation
objective
head: suture lines, skull bones, and mastoid process for protrusions or tenderness
lymph nodes can be palpated in this region, but can only be felt if they are inflamed
temporomandibular joint: smooth action, full ROM, no crepitus or popping (crepitus is
not just the sound, but the feeling too)
Carotid arteries: 0-3+ (0 usually means you're dead) these will be examined one at a time
Trachea: midline; straight line behind the thyroid
Thyroid: no nodes, masses, or enlargement; should feel smooth and not enlarged. Can
stand behind patient and use right hand to palpate while left hand displaces. Or can
stand in front of patient with left thumb palpating and right thumb displacing
,Describe percussion
Objective
-Usually a focused assessment, only if patient comes in with condition related to sinuses
- Gently tap the sinuses to assess for any tenderness
There is no auscultation at this point but we will be adding auscultation to the carotid
arteries later
what is lymphadenopathy?
An abnormality found when lymph nodes are swollen
what is a goiter?
An abnormality found when the thyroid is enlarged; looks like a large protrusion
what is cushing syndrome?
swelling of the jaw an abnormality
produces an overly round face, pink-red pigmentation of cheeks, and fatty deposits in
the back of the neck
what are characteristics of down syndrome?
upslanting palpebral fissures
low-set and small folded ears
short neck
, flattened nasal bridge
brushfield spots small, usually white spots, that are often set in rings
epicanthal fold
what is caput succedaneum?
an abnormality in infants during vaginal delivery
-head squeezed in birth canal and fluid builds up
-cone head
what is a cephalhematoma?
-abnormality found in infants after traumatic delivery
-localized accumulation of blood in skull
what is phagiocephally?
-abnormalities found in infants after birth(6 months or so)
-flattening of the head in area where pressure is (usually the back of the head,
sometimes the side)
location of the lymph node: occipital
base of skull
lymph node location: posterior auricular (mastoid)
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