Week 13 Discussion: The Comprehensive Physical Exam Adolescents, Older Adults, and Pregnant Women
Week 13 Discussion: The Comprehensive Physical Exam Adolescents, Older Adults, and Pregnant Women
Discussion Guidelines
Initial Post
Discuss one approach of the physical exam of the pregnant woman that differs from that of the adult patient.
Then, using Chapters 19 (“The Pregnant Woman”) and 21 (“The Older Adult”) of your Goolsby and Grubbs text, select one common diagnosis and one less-common diagnosis for both pregnant women and older adults. Describe how you would be able to differentiate them from each other in an exam.
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Response Post
Reply to the initial posts of at least two classmates.
Submission
Post your initial and follow up responses and review full grading criteria on the Discussion 13.1: Examining Pregnant Women and Older Adults page.
Week 13: The Comprehensive Physical Exam—Adolescents, Older Adults, and Pregnant Women
Welcome to the thirteenth week of Advanced Physical Assessment. During this lesson, you will continue coordinating the comprehensive physical exam. The focus this week is adolescents, older adults, and pregnant women. Please keep in mind that because there are pediatric, geriatric, and maternal health nurse practitioner specialty degrees, this unit will provide only a brief overview of these assessments, as family nurse practitioners do not typically perform these focused exams in detail. You will look at those of systems’ specific techniques and learn how to identify the normal physical landmarks. Then you will review the proper terminology for identifying and appropriately documenting those subjective and objective findings. Finally, you will utilize what you have learned with regard to adolescents and determine the best way to communicate with adolescents about risky behaviors.
Review a list of all items due this week in your course syllabus.
Lesson 1: Adolescents, Older Adults, and Pregnant Women
During this lesson, you will continue coordinating the comprehensive exam, focusing on adolescents, older adults, and pregnant women. You will also look at different exam techniques and review proper terminology for objective findings. Please note this is just a brief summary of adolescent, older adult, and prenatal health—these topics require far more attention from specialists and will only be covered in a general sense in this course.
At the end of this lesson, you will be able to:
Begin the practice of sequencing and coordinating the comprehensive physical exam of adolescent, older adult, and pregnant patients.
Identify the anatomical landmarks of the human body of the adolescent, older adult, and pregnant woman.
Correlate examination techniques using the correct sequence and anatomical landmarks in an adolescent, adult, and pregnant patient.
Use correct terminology to record objective components of the physical examination findings.
Before attempting to complete your learning activities for this week, review the following learning materials:
Learning Materials
Read the following in your Bates’ Guide to Physical Examination and History Taking textbook:
Chapter 25, “Children: Infancy through Adolescence”
Chapter 26, “Pregnant Woman”
Chapter 27, “Older Adult”
These readings will help you perform the adolescent, older adult, and pregnant woman assessments. They also will help you recognize pertinent positives and negatives related to those systems and show you how to document them appropriately.