Physical Assessment- Kaplan Basics

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Physical Assessment- Kaplan Basics
2013-06-26 13:49:24
Physical Assessment

Physical Assessment
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  1. Normal Vital Signs: RR, Pulse, BP
    • RR: 30-60/min
    • P: 120-160 (180 when crying) bpm
    • BP: 65/41 mmHg
  2. Normal Vital Signs: RR, Pulse, BP
    1-4 yrs
    • RR: 20-40/min
    • P: 80-140 bpm
    • BP: 90-99/60-65 mmHg
  3. Normal Vital Signs: RR, Pulse, BP
    5-12 yrs
    • RR: 15-25/min
    • P: 70-115 bpm
    • BP: 100-110/56-60
  4. Normal Vital Signs: RR, Pulse, BP
    • RR: 12-20/min
    • P: 60-100 bpm
    • BP: <120/80 mmHg
  5. What is the diaphragm of the stethoscope used for?
    Listening to high pitched sounds: lungs, bowel, heart (Place firmly on skin)
  6. What is the bell of the stethoscope used for?
    Listening to low pitched sounds: heart murmur (Place lightly on skin)
  7. What do normal adult respirations look like?
    • Costal (chest movement)
    • Regular
    • Expiration slower than inspiration
    • 12-20/min
  8. What do neonate respirations look like?
    • Diaphragmatic (abdominal movement)
    • Irregular
    • 30-60/min
  9. Normal oral temp?
    • 98.6F
    • 37.0C
  10. Normal rectal temp?
    • 99.6F
    • 37.6C
  11. Normal axillary temp?
    • 97.6F
    • 36.5C
  12. What is hyperventilation and what does it cause?
    • Abnormally rapid, deep, and prolonged breathing
    • Causes respiratory alkalosis due to reduction in CO2
  13. What is hypoventilation and what does it cause?
    • Reduced ventilatory efficiency
    • Causes respiratory acidosis due to elevation in CO2
  14. Orthopnea def?
    Inability to breath when trunk is in upright position
  15. Pulse pressure def and normal range?
    • Difference between systolic and diastolic
    • Normal: 30-40 mmHg
  16. Hirsutism def?
    Excess hair
  17. What is the Webner test?
    • Assesses bone conduction
    • Tuning fork placed in middle of forehead
    • Should be heard equally in both ears
  18. What is the Rinne test?
    • Compares bone conduction with air conduction
    • Tuning fork placed on mastoid process, when sound no longer heard it's moved in front of ear canal
    • Should still be able to hear sound
  19. How is the pinna pulled to examine ears?
    • <3yrs: down and back
    • >3yrs: up and back
  20. Pulse deficit def?
    Difference between apical and radial pulses
  21. What is Homan's Sign?
    • Tests for thrombophlebitis
    • Pain in calf with dorsiflexion of foot
  22. Hyospadias def?
    Meatus located on underside of penile shaft
  23. Epispadias def?
    Meatus located on upper side of penile shaft