NUR 202 Health Assessment Study Guide

A set of flashcards summarizing key concepts and assessments related to health assessment in nursing.

Anatomy of the Breast

The breast consists of glandular tissue, ductal system, fibrous stroma, and adipose tissue.

Upper Outer Quadrant (UOQ)

Contains the most glandular tissue and is the most common site for breast cancer.

Clinical Pearl

Key pieces of information or high-yield tips drawn from the guide.

Normal Findings in Breast Assessment

Includes symmetrical breasts without skin dimpling and everted nipples.

Abnormal Findings in Breast Assessment

Includes dimpling, retraction, or unilateral nipple discharge.

Breast Cancer Signs

Hard, irregular, fixed mass; skin dimpling; bloody discharge.

Fibroadenoma Signs

Smooth, mobile, firm, rubbery mass; usually in young women 15-35 years.

Mastitis

Unilateral breast redness, warmth, swelling, fever; common in lactating women.

Musculoskeletal Assessment

Evaluates bones, joints, muscles, tendons, ligaments, and bursae.

Range of Motion (ROM)

Can be active (patient moves) or passive (examiner moves), assessed during a musculoskeletal exam.

Muscle Strength Grading

Rated using a scale from 0 (no muscle contraction) to 5 (full strength against resistance).

Cushing's Triad

Bradycardia, hypertension, and irregular respirations indicating increased intracranial pressure.

GCS

Glasgow Coma Scale used for assessing level of consciousness with a maximum score of 15.

TSE

Testicular Self-Examination is recommended monthly for early detection of testicular cancer.

Chandelier Sign

Cervical motion tenderness indicating potential pelvic inflammatory disease (PID).