N 307 EXAM 4 Flashcards
What is Leukorrhea?
Normal discharge with ovulation.
Prostate disorder symptoms?
-Incomplete bladder emptying.
-urinary frequency/urgency
-weak stream or straining to initiate
-hematuria (blood in urine)
-nocturia (frequent nighttime peeing)
-bony pelvis pains
How can females prepare their body for pregnancy?
-stop smoking
-stop drinking
-increase folic acid and calcium
-lose weight if obese
How is Gravida-Para notated?
G= gravida = total number of pregnancies
P= para = outcomes of pregnancies
“F” = full term
“P” = premature
“A” = abortion
“L” = living child
Where does lymph from internal genitalia and upper vagina drain?
Into the pelvic and abdominal lymph nodes.
Where does lymph from the vulva drain?
Into the inguinal lymph nodes.
What are some cervical cancer risks?
-Failure to screen
-multiple sex partners
-cigarette smoke exposure
-immunosupression
-long term oral contraceptive use
-HPV
What is Primary Dysmenorrhea?
Pain with menses due to increased prostaglandin during the cycle causing uterine contractions.
What is Secondary Dysmenorrhea?
Pain with menses due to a secondary cause such as:
-endometriosis, adenomyosis, pelvic inflammatory disease, polyps.
What is primary amenorrhea?
Failure of periods to initiate.
What is secondary amenorrhea?
failure to have menses after they initiated. could be due to birth control use, medications, hormone shots, hypothyroidism, being overweight or underweight.
What is menarche?
When menstruation begins.
What is Menorrhagia?
excessive flow.
What is the best order to ask females their reproductive history?
- Menstrual
- obstetric
- sexual
(unless client comes in specifically for a sexual issue, then it is appropriate to follow clients lead.)
What conditions can cause hoarseness? (and their duration.)
Chronic- over 2 weeks-
hypothyroidism
reflux
vocal chord nodules
head and neck cancers
thyroid masses
neurological disorders such as parkinsons.
Acute -less than 2 weeks-
voice overuse
acute viral laryngitis
What is Epistaxis?
Bloody nose
What would be pertinent history for epistaxis?
anticoagulation therapy (aspirin)
nasal sprays
recent surgery
recent injury
bleeding disorder
What are you looking for when assessing pupils?
PERRLA
pupils equal, round, and reactive to light and accomodation.
What is cranial nerve 1?
Olfactory- sense of smell
what is cranial nerve 5?
Trigeminal nerve-
motor and sensory nerve
motor is temporal and masseter.
sensory has 3 divisions of face ( ophthalmic, maxillary, and mandibular)
What is cranial nerve 11?
Spinal accessory nerve.
motor movement of sternocleidomastoid (SCM) and Trap muscles.
What is cranial nerve 7?
Facial nerve- motor and sensory
facial expression eyes closing and mouth closing.
taste on anterior 2/3 of tongue.
what is cranial nerve 12
hypoglossal- motor
tongue movement
What is cranial nerve 9?
Glossopharyngeal.
motor- pharynx
sensory-TASTE!
pharynx, posterior eardrums and posterior tongue
What is presbycusis?
slow, age related hearing loss
What symptoms are associated specifically with inner ear infections?
Hearing and balance issues.
what is Otitis externa?
Swimmers ear.
external ear infection.
inflammation of the ear canal.
symptoms- pain on movement of the pinna and tragus “tug test”
history of water exposure.
what is Otitis Media?
inflammation of middle ear.
more common in children due to short eustacian tubes. bacteria travel up eustacian tubes and causes infection.
signs- pain, redness, fever, no eating, no sleeping, tugging on ear, restless and irritable.
Risk factors for Otitis Media.
pacifiers
daycare
not vaccinated
history of ear infections
parent smokes around them
sudden relief from an earache is a good thing. T/F?
False!
-this means ruptured eardrum.
what is cranial nerve 10?
Vagus nerve. sensory and motor
motor- palate, pharynx, larynx
sensory- pharynx and larynx
SWALLOWING
What is cranial nerve 8?
vestibucochlear nerve.
HEARING AND BALANCE
What is cranial nerve 3?
Oculomotor nerve.
raises upper eyelid,
PUPIL CONSTRICTION
What is cranial nerve 2?
Optic nerve.
only sensory
VISION
What is cranial nerve 6?
Abducens nerve. -motor-
lateral deviation of eyes.
What is cranial nerve 4?
Trochlear nerve. -motor-
downward, internal rotation of the eye.
Location of supraclavicular lymphnodes
deep in angle formed by clavicle and SCM.
location of posterior cervical lymphnodes.
Along the anterior edge of trapezius.
location of deep cervical chain lymphnodes.
deep and mid SCM muscle. hook thumb around muscle to locate.
location of superficial cervical lymphnodes.
superficial to the SCM. closer to jawline but below tonsilary area.