NURS 1160 MIDTERM 2 EXAM QUESTIONS
WITH 100% CORRECT ANSWERS
Organs found in the abdominal cavity
lower GI tract, liver, stomach, uterus, ovaries, kidney, bladder
boundaries of the abdominal assessment
xiphoid process to symphysis pubis
Costoverebral angle
formed by the last rib and vertebral column and is the landmark used during kidney and liver
palpation
abdominal splinting
lying with knees drawn up or moving restlessly in bed due to abdominal pain
unexpected findings of skin
generalized colour changes, glistening, taut appearance
unexpected findings of umbilicus
protruding mass, displacement, distention, hernias
flat abdomen
horizontal from xiphoid process to symphysis pubis
concave abdomen
sinking abdomen into the muscular wall
round abdomen
protruding abdomen
distention of abdomen can be due too
gas, tumor, fluid
unexpected findings of organs/masses
bulging of organs while holding breath, wall masses, hernias, muscular separation
abdomen guarding
diminished respiratory movement and tightens abdominal muscles to guard from pain
order of assessment for abdomen
, inspection, auscultation, percussion, palpation
Peristalsis
Involuntary waves of muscle contraction that keep food moving along in one direction through
the digestive system.
bowel sounds
Abdominal sounds caused by the products of digestion as they move through the lower
gastrointestinal tract, usually heard on auscultation.
how many bowel sounds per minute
5-35x/minute
lack/absence of bowel sounds can be due to
late-stage bowel obstruction, paralytic ileus, peritonitis
borborygmi
hyperactive bowel sounds that are loud and growling
presence of bruits indicate
aneurysms or stenotic vessels
assess for what during abdominal palpation
muscular resistance, distention, tenderness, superficial organ/masses
expected findings upon abdominal palpation
smooth, consistent softness and not tender, no masses
unexpected findings upon abdominal palpation
abdominal guarding, tightening remains after patient relaxes
depth of abdominal palpation
2.5-7.5cm
aortic pulsation
palpate with thumb and forefinger
female genitalia inspection position
lithotomy position
labia majora atrophied
reduced in size without inflammation, lesions, edema, or lacerations
WITH 100% CORRECT ANSWERS
Organs found in the abdominal cavity
lower GI tract, liver, stomach, uterus, ovaries, kidney, bladder
boundaries of the abdominal assessment
xiphoid process to symphysis pubis
Costoverebral angle
formed by the last rib and vertebral column and is the landmark used during kidney and liver
palpation
abdominal splinting
lying with knees drawn up or moving restlessly in bed due to abdominal pain
unexpected findings of skin
generalized colour changes, glistening, taut appearance
unexpected findings of umbilicus
protruding mass, displacement, distention, hernias
flat abdomen
horizontal from xiphoid process to symphysis pubis
concave abdomen
sinking abdomen into the muscular wall
round abdomen
protruding abdomen
distention of abdomen can be due too
gas, tumor, fluid
unexpected findings of organs/masses
bulging of organs while holding breath, wall masses, hernias, muscular separation
abdomen guarding
diminished respiratory movement and tightens abdominal muscles to guard from pain
order of assessment for abdomen
, inspection, auscultation, percussion, palpation
Peristalsis
Involuntary waves of muscle contraction that keep food moving along in one direction through
the digestive system.
bowel sounds
Abdominal sounds caused by the products of digestion as they move through the lower
gastrointestinal tract, usually heard on auscultation.
how many bowel sounds per minute
5-35x/minute
lack/absence of bowel sounds can be due to
late-stage bowel obstruction, paralytic ileus, peritonitis
borborygmi
hyperactive bowel sounds that are loud and growling
presence of bruits indicate
aneurysms or stenotic vessels
assess for what during abdominal palpation
muscular resistance, distention, tenderness, superficial organ/masses
expected findings upon abdominal palpation
smooth, consistent softness and not tender, no masses
unexpected findings upon abdominal palpation
abdominal guarding, tightening remains after patient relaxes
depth of abdominal palpation
2.5-7.5cm
aortic pulsation
palpate with thumb and forefinger
female genitalia inspection position
lithotomy position
labia majora atrophied
reduced in size without inflammation, lesions, edema, or lacerations
