SUMMER NP HEALTH ASSESSMENT EXAM 2 DEFINITIONS

Question 1

Hegar sign

Answer 1

softening of the cervical isthmus the portion of the uterus that narrows into the cervix

Question 2

know the weeks of the trimesters*

Answer 2

first 1-12, second 13-26 and third 27-40

Question 4

chadwick sign

Answer 4

cervix a blueish color increased vascularity throughout the pelvis

Question 5

hcg five variant subtypes

Answer 5

two cruicial for maintaining the pregnancy one produced by the corpus luteum in ealry pregnancy to stabalize the endometrium and prevent loss of the ealry embryo

Question 6

menarche

Answer 6

when the mensus began, a part of the history examination

Question 6

leukorrhea of pregnancy

Answer 6

normal vaginal secretions may become thick white and more profuse

Question 7

cervical dilation

Answer 7

cervical remodel involves rearrangement of the cervical connective tissue that decreases collagen concentration during delivery

Question 8

dysmenorrhea

Answer 8

pain with menses, half of patients; can be primary or secondary; primary dysmenorrhea can be from increased prostaglandin production and secondary could be from adenomyosis (endometriosis) PID and endometrial polyps

Question 9

menopause

Answer 9

typically between 48-55 years peaking at the median age of 51 years and deinfed as the cessation of menses for 12 months

Question 10

acute pelvic pain for a female differential diagnosis in mentrating adolescent

Answer 10

ectopic ovarian torsion and appendiciitis

Question 11

candida albicans vaginitis

Question 12

trichomonas vaginalis

Question 13

bacterial vaginosis

Question 14

moderate retroversion of the uterus

Question 15

PID

Question 16

marked retroversion of the uterus

Question 17

anal verge

Answer 17

junction of hair bearing and hairless skin at the external anus

Question 18

suitable patient positionsing for conductin anus examination

Answer 18

side lying left* position with the hips and knees artially felxed; or ask to stand and lean forward with the upper body resting across the examination table and hips flexed

Question 19

condylomas

Answer 19

warts on the anus

Question 20

naegeles rule
this will be a question**

Answer 20

first date of the LMP, add one week, subtract three months and add one year (plus or minus a week- this is always an estimate) ex on the ppt

Question 21

PILONDIAL cyst and sinus

Answer 21

fairly common probbaly congential midline small tuft of hair surrounded by a halo of erythema generally asymptomatic

Question 22

normal prostate could see this being a question

Answer 22

palpable through the anterior rectal wall, noraml is rounded heart shaped approx 2.5cm long

Question 23

preeclampsia

Answer 23

elevated >140/ >90 after 20 weeks gestation on 2 occasions at leadest 4 hours apart in a woman with previous normal BP

Question 24

prostatits

Question 25

benign prostatic hyperplasia

Question 26

prostate cancer

Question 27

montgomery glands

Answer 27

surface of the areolas small rounded elevation formed by sebaceous glands, with sweta glands and accessory areolar glands; few hairs

Question 28

normal bmi 18.5-24.9

Answer 28

optimize weight gain 25-35 gain recommended

Question 29

cooper ligaments

Answer 29

breast is attached to the skin by suspensory, ligaments, fibrous bands that travel through the breast and insert perpendicular to the dermis

Question 30

supernumerary nipples

Answer 30

one or more extra nipples are located along the milk line; often mistaken for a mole

Question 31

tail of spence

Answer 31

first area in the axillary line

Question 32

choloasma

Answer 32

hormal changes mask of pregnancy; discoloration

Question 33

gynecomastia

Answer 33

some men develop benign breast enlargement, a proliferation of palpable glandular tissue genrlaly defined as more than 2 cm or psuedogynecomastic, an accumualtion of subareolar fat; could be increased estrogen, decreased testorone and or medication side eeffects

Question 34

peau d’orange

Answer 34

thickening and prominent pores, could suggest breast cancer

Question 35

supine hypotension in a pregnant person

Answer 35

compression interferes with venous return from the lower extremities and pelvic vessels, causing patient to feel dizzy and faint

Question 36

hyperemesis gravidarum

Answer 36

weight loss due to nausea and vomiting that exceeds 5% of prepregnancy weight considered excessive and can lead to adverse outcomes

Question 40

rhogram

Answer 40

rh negative mom that needs 28 weeks and at delivery

Question 41

well checks, scheduled bright future schedules

Answer 41

guidelines for health supervision/monitoring the play book as primary care providers and at each of these checkups

Question 42

infant positional plagiocephaly

Answer 42

advice and teach parents to rotate babys head

Question 43

fontanelles**