What special exam techniques need to be performed

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Question: What special exam techniques need to be performed on a pregnant woman? How and why do you do these?
What are the common signs and symptoms or pregnancy? How do you determine if a symptom is normal or abnormal - for example, nausea and vomiting is a normal finding in early pregnancy, but how do you know when it is no longer normal? How do you counsel a woman about self care measures for discomforts in pregnancy during the entire gestation?
In examining a pregnant woman, you are essentially examining both her and the fetus. What exam techniques do you use to assess the fetus in utero? How do you provide culturally competent care during pregnancy while at the same time, providing the standard of care if the cultural beliefs do not permit certain assessments or interventions to be done?

What are the differences between doing an H & P on an older adult as compared to that of a younger adult? What parts of the assessment are essential? How do you "set the tone" for this assessment? How do the principles of ethics play a role in your assessment? How might you find a challenge when working with an older adult and his/her family and following the HIPAA regulations?
How do physiologic changes in aging play a role in what you consider to be "a normal finding", vs. one that would lead you to think about a pathologic state? What health conditions are common in your elderly patient and how do you assess for them?
Why is functional assessment so important and how often should you assess your patient's function? What would you do if your functional assessment revealed that your patient is not safe driving? Not safe to live alone?
What do you consider to be a healthy older adult vs. an older adult who is aging well? How do you include health maintenance/promotion and disease prevention counseling in your encounter with an older adult.

 

Reference no: EM133439393

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