Module 3 growth and development adults Flashcards

1
Q

pregnancy wt gain fetus

A

6-8lbs

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2
Q

preg wt gain fluid volume

A

2-3lbs

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3
Q

preg wt gain blood volume

A

3-4lbs

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4
Q

preg wt gain breast enlargement

A

1-2lbs

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5
Q

preg wt gain uterine enlargement

A

2 lbs

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6
Q

preg wt gain amniotic fluid

A

2lbs

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7
Q

preg wt gain maternal fat and protein stores

A

4-6lbs

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8
Q

older adults stature and wt

A
stature declines after 50 
- thinning intervertebral discs
-kyphosis, compression 
loss of body weight 
-inc. in body fat 
- dec. in skeletal muscle
Organs lose wt and size
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9
Q

wt gain/loss hx

A

undesired weight change

  • anorexia
  • vomiting/diarrhea
  • difficulty swallowing
  • excessive thirst
  • freq. urination
  • changes in lifestyle, activity, or stress
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10
Q

wt gain/loss hx meds

A
chemo
diuretics
insulin
antidepressants
diet pills
laxatives
steroids
oral contraceptives
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11
Q

wt hx body proportion changes

A
coarsening of facial features
enlarging hands or feet
moon faces
change in fat distribution 
meds
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12
Q

questions about wt

A

when did it begin?
were you heavy as an infant or child?
how much did you weigh at life milestones?

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13
Q

wt and older adults

A
chronic illnesses
meal prep: assistance preparing meals, diff. feeding
problems chewing or swallowing
dentures
ability to follow diet 
digestive prob
socialization with meals: someone to help
usual wt and ht 
activity and exercise
alcohol 
recreational drugs
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14
Q

wt family hx

A
obesity
short or tall
precocious or delayed puberty
genetic or metabolic disorder
- CF
- dwarfism
- anorexia
- thyroid disease
- diabetes
- metabolic disease
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15
Q

wt and pregnancy

A
wt gain in previous preg
BMI
dietary intake
age of menarche
date of last menstrual period
wt gain pattern 
eating disorders
hx pica 
N/V
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16
Q

Preg BMI and wt gain

A

underwt: <18.5 total gain: 28-40
nml wt: 18.5-24.9 total gain: 25-35
overwt: 25-29.9 total gain: 15-25
obese: >30 total gain: 11-20

17
Q

acromegaly

A

most common cause
- benign pituitary adenoma or other tumor
- excess growth hormone leads to slow skeletal growth and soft tissue enlargement.
Most common in middle aged adults

18
Q

acromegaly subjective data

A
slow progressive change in facial feature 
inc. shoe and ring size
oily and sweaty skin
excessing snoring or sleep apnea
dec. exercise tolerance
pain in joint and hands 
NO change in ht
19
Q

acromegaly objective data

A
face and skull
- frontal skull bossing
- inc. cranial ridges
- mandibular overgrowth: maxillary widening of teeth 
- malocclusion (overbite) 
skin thickening of face, hands, and feet
joint enlargement, swelling, and pain 
cardiac ventricular enlargement and dec. exercise tolerance
20
Q

cushing syndrome

A

prolonged and excessively high exposure to glucocorticoids
Other causes:
- adrenal gland causing excessive cortisol
- pituitary tumor -> inc. adrenocorticotropic hormone

21
Q

Other conditions caused by excess cortisol

A

diabetes
HTN
depression
menstrual irregularities

22
Q

cushing syndrome subjective data

A
wt gain, inc. appetite 
depression, irritability
dec. libido 
dec. concentration, impaired short term memory 
easy bruising 
menstrual abnormalities
23
Q

cushing syndrome objective data

A
obesity, buffalo hump, fat pad
moon facies 
proximal muscle weakness
hirsutism or female balding
peripheral edema 
thick skin, reddish-purple striae, poor skin healing
- hyperpigmentation