Health Assessment UTMB Exam 1 With
Solutions.
physical characteristics of general survey includes - ANSWER- appearance (groomed),
body structure, mobility, and behavior
physical appearance - ANSWER- age, sexual development, level of consciousness,
skin color, facial features, symmetry, overall appearance
body structure - ANSWER- stature, nutrition, symmetry, posture, position, body build,
contour, obvious physical deformities
level of consciousness - ANSWER- alert and oriented to 1)person, 2)place, 3)time,
4)situation
correct body structure proportions - ANSWER- arm span = height, length fro crown to
pubis = pubis to sole
Mobility - ANSWER- gait, range of motion,
behavior - ANSWER- facial expression, mood and affect, speech, speech pattern,
dress, personal hygiene
measurement - ANSWER- weight, height, BMI (normal: 18.5-24.9 kg/m2), waist
circumference
aging adult physical appearance - ANSWER- angular facial features and body portions
are redistributed
aging adult posture - ANSWER- general flection (kyphosis)
aging adults Gait - ANSWER- wider base
aging adult weight - ANSWER- loss of muscle and subcutaneous fat from face and
periphery, additional fat on abdomen and hips
aging adult height - ANSWER- shorter trunk due to thinning and shortening of vertebrae
and posture
Temperature - ANSWER- metabolism requires 37.2 C
normal oral temperature - ANSWER- most convenient - range of 35.8-37.3, influenced
by diurnal cycle, menstration, exercise, and age
, rectal temp - ANSWER- 0.4-0.5 degrees C higher than oral
hyperthermia and hypothermia - ANSWER- hyper - >38 C, hypo - <36 C
pulse (stroke volume) - ANSWER- 70 ml of blood pumped every beat
regular pulse - ANSWER- count for 30 secs multiply by 2
irregular pulse - ANSWER- count for full 60 secs, assess using rate, rhythm, and force
pulse rate - ANSWER- normal resting: 50-95 bpm (60-100 range), varies with age and
gender
bradycardia - ANSWER- <50 bpm, bigger heart muscles beat slower
tachycardia - ANSWER- >95bpm, anxiety or exercise
pulse rhythm - ANSWER- irregularity most common in children (sinus arrhythmia)
sinus arrhythmia - ANSWER- speeding up at peak of inspiration and slowing to normal
with expiration
pulse force - ANSWER- 3+ full, bounding
2+ normal
1+ weak, thready
0 absent
respirations - ANSWER- breaths per minute, pulse rate:respirations rate 4:1
normal adult: 10-20 breaths/min
systolic blood pressure - ANSWER- max pressure felt on artery during LEFT ventricle
contraction
diastolic blood pressure - ANSWER- elastic recoil or resting pressure between each
contraction
pulse pressure - ANSWER- systolic - diastolic
reflects stroke volume
mean arterial pressure - ANSWER- force blood into tissues averaged over cardiac cycle
= 2xdiastolic + systolic / 3
blood pressure varies by many factors - ANSWER- age, sex, race, diurnal rhythm,
weight, exercise, emotions/stress
Solutions.
physical characteristics of general survey includes - ANSWER- appearance (groomed),
body structure, mobility, and behavior
physical appearance - ANSWER- age, sexual development, level of consciousness,
skin color, facial features, symmetry, overall appearance
body structure - ANSWER- stature, nutrition, symmetry, posture, position, body build,
contour, obvious physical deformities
level of consciousness - ANSWER- alert and oriented to 1)person, 2)place, 3)time,
4)situation
correct body structure proportions - ANSWER- arm span = height, length fro crown to
pubis = pubis to sole
Mobility - ANSWER- gait, range of motion,
behavior - ANSWER- facial expression, mood and affect, speech, speech pattern,
dress, personal hygiene
measurement - ANSWER- weight, height, BMI (normal: 18.5-24.9 kg/m2), waist
circumference
aging adult physical appearance - ANSWER- angular facial features and body portions
are redistributed
aging adult posture - ANSWER- general flection (kyphosis)
aging adults Gait - ANSWER- wider base
aging adult weight - ANSWER- loss of muscle and subcutaneous fat from face and
periphery, additional fat on abdomen and hips
aging adult height - ANSWER- shorter trunk due to thinning and shortening of vertebrae
and posture
Temperature - ANSWER- metabolism requires 37.2 C
normal oral temperature - ANSWER- most convenient - range of 35.8-37.3, influenced
by diurnal cycle, menstration, exercise, and age
, rectal temp - ANSWER- 0.4-0.5 degrees C higher than oral
hyperthermia and hypothermia - ANSWER- hyper - >38 C, hypo - <36 C
pulse (stroke volume) - ANSWER- 70 ml of blood pumped every beat
regular pulse - ANSWER- count for 30 secs multiply by 2
irregular pulse - ANSWER- count for full 60 secs, assess using rate, rhythm, and force
pulse rate - ANSWER- normal resting: 50-95 bpm (60-100 range), varies with age and
gender
bradycardia - ANSWER- <50 bpm, bigger heart muscles beat slower
tachycardia - ANSWER- >95bpm, anxiety or exercise
pulse rhythm - ANSWER- irregularity most common in children (sinus arrhythmia)
sinus arrhythmia - ANSWER- speeding up at peak of inspiration and slowing to normal
with expiration
pulse force - ANSWER- 3+ full, bounding
2+ normal
1+ weak, thready
0 absent
respirations - ANSWER- breaths per minute, pulse rate:respirations rate 4:1
normal adult: 10-20 breaths/min
systolic blood pressure - ANSWER- max pressure felt on artery during LEFT ventricle
contraction
diastolic blood pressure - ANSWER- elastic recoil or resting pressure between each
contraction
pulse pressure - ANSWER- systolic - diastolic
reflects stroke volume
mean arterial pressure - ANSWER- force blood into tissues averaged over cardiac cycle
= 2xdiastolic + systolic / 3
blood pressure varies by many factors - ANSWER- age, sex, race, diurnal rhythm,
weight, exercise, emotions/stress
