Nrp 531 Advanced Health Assessment Final Exam-With 100% Verified Solutions-

Obtaining Vaginal Specimens {Ans: Pap Smear: Rotate 5X and obtain sample before any other test samples Then any swabs for infection}Heart conditions that accompany Diastolic murmurs {Ans: •Aortic Insufficiency: most common, Marfan syndrome, retrograde blood flow into left ventricle. Diaphragm at 2nd and 4th intercostal along sternal border, sit up and lean forward and hold breath •Pulmonary Insufficiency: high pitched, diaphragm, 2nd or 3rd intercostal, enhanced during inspiration. •Mitral Stenosis: most common, bell at 5th intercostal, low pitched rumbling, left lateral position •Tricuspid Stenosis: forward blood flow from right atrium though stenosed tricuspid valve, bell at 4th intercostal along sternal border.}Psoas Sign {Ans: Place hand just above right knee and ask pt to raise that thigh against your hand and turn onto the left side. then extend the right leg at the hip.Flexion of th leg at the hip makes the psoas muscle contract; extension stretches it. Increased abd pain with either maneuver constitutes a positive sign}Feeling the liver edge {Ans: Normally feels smooth, soft, sharp, and regular. Normally about 3 cm below the right costal margin in the midclavicular line}What Abdominal locations do you listen for bruits with the diaphragm of the stethoscope? {Ans: