Health assessment-test 2-head, face, lymph nodes

Question 1

normocephalic

Answer 1

normal shaped head

Question 2

microcephalic

Answer 2

small head (Rett syndrome)

Question 3

macrocephalic

Answer 3

large head (hydrocephalus)

Question 4

Name the fontanels

Answer 4

anterior fontanel

posterior fontanel

Question 5

what is a fontanel?

Answer 5

spaces where the sutures intersect; membrane covered soft spots allow fro growth of the brain during the first year

Question 6

When do the fontanels close?

Answer 6

posterior closes by 2 months

anterior closes by 2 years

Question 7

What would it mean for a fontanel to be sunken?

Answer 7

dehydrated

Question 8

What would it mean for a fontanel to be bulging?

Answer 8

trauma (bleeding/swelling)

Question 9

facies

Answer 9

distinctive facial expression that is characteristic of a medical condition
examples: fetal alcohol syndrome (smooth upper lip), Parkinson’s disease, Down’s syndrome

Question 10

trachea

Answer 10

Should be midline; inspect or palpate for any deviation to the left or right

Question 11

thyroid

Answer 11

inspect; palpate using anterior or posterior approach; note size, consistency, symmetry, presence of nodules

Question 12

lymph nodes
what are they?
what do they do?
greatest supply where?

Answer 12

small, oval clumps located throughout the body
filter extravascular fluid before it returns to the bloodstream
greatest supply in head and neck

Question 13

Names of groups of lymph nodes in head/neck

Answer 13

posterior auricular
occipital
preauricular
submandibular
submental
deep cervical chain
supraclavicular
posterior cervical

Question 14

lymph nodes are often _____

Answer 14

palpable

Question 15

lymph node size ____ with age

Answer 15

decreases

Question 16

normal nodes are ___, ___, ___, and ___

Answer 16

moveable, discrete, soft and nontender

Question 17

if lymph nodes are enlarged or tender, look for the …

Answer 17

source of the problem

Question 18

supraclavicular nodes are also called?

Answer 18

seed of the devil (may indicate neoplasm in thorax or abdomen)

Question 19

lymphadenopathy

Answer 19

enlarged lymph nodes (> 1 cm) from infection, allergy or neoplasm

Question 20

infection lymphadenopathy

Answer 20

enlarged, bilateral, warm, tender, freely movable

Question 21

cancer lymphadenopathy

Answer 21

enlarged (> 3 cm), unilateral, nontender, matted (stuck to tissue around), fixed

Question 22

A single, large, hard, non-tender left ___ lymph node is an ___ ___.

Answer 22

supraclavicular

ominous sign