Head to Neck Assessment

• What are the 10 lymph nodes in the neck?

  1. Submental
  2. Submandibular
  3. Tonsillar
  4. Preauricular
  5. Posterior Auricular
  6. Occipital
  7. Superior Cervical
  8. Deep Cervical Chain
  9. Posterior Cervical
  10. Supraclavicular
• Auscultate the thyroid only if you found an enlarged thyroid gland during inspection or palpation.

  True
• Does head and neck assessment focus on the cranium, face, thyroid gland, and lymph nodes?

  True
• C7 is also known as?

  Vertebral prominence or Vertebrae prominens
• Normocephalic - It is called when the head is symmetric, round, erect, and in the midline and appropriately related to body size.
• Microcephaly - abnormally small head
• Acromegaly - skull and facial bones are larger and thicker
• Paget's disease - acorn-shaped, enlarged skull bones
• Cushing syndrome - moon-shaped face with reddened cheeks and increased facial
• Bell's palsy - one-sided face paralysis
• Temporal artery - it is elastic and not tender
• Temporal arteritis - inflammation of temporal arteries that may lead to blindness
• Mouth opens and closes fully about 3 to 6 cm between upper and lower teeth.
• Lower jaw moves laterally 1 to 2 cm in each direction.
• Thyroid cartilage, cricoid cartilage move upward symmetrically as the client swallows.
• Normal neck movements should be:

  45-degree flexion, 55-degree extension, 40-degree lateral abduction, 70-degree rotation
• How many degrees is considered normal for neck flexion?

  45 degrees
• How many degrees is considered normal for neck extension?

  55 degrees
• How many degrees is considered normal for neck rotation?

  70 degrees
• How many degrees is considered normal for neck lateral abduction?

  40 degrees
• Cricoid cartilage - The first upper ring above the smooth trachea rings
• In palpating the thyroid gland, you must assess at the back of the client.
• In palpating the trachea, you must assess in front of the client.
• Glandular Thyroid Tissue - may be felt rising underneath your fingers when the client swallows while palpating the thyroid gland.
• A soft, blowing, swishing sound auscultated over the thyroid lobes is often heard in hyperthyroidism.
• Oculus dexter - right eye
• oculus sinister - left eye
• oculus uterque - both eye
• What are the 6 cardinal signs?

  superior rectus, inferior rectus, lateral rectus, medial rectus, superior oblique, inferior oblique
• 20/20 - normal distant acuity
• 14/14 - normal near visual acuity
• Eye - it transmits stimuli to the brain for interpretation
• Eyeball - is located in the eye orbit
• myopia - impaired far vision
• Distant visual acuity deviation from normal if the second number is higher because the higher the second number, the poorer the vision.
• When testing distant visual acuity, position the client 20 feet from the Snellen or e-chart.
• Testing near visual acuity mean holding the chart 14 inches from the eyes.
• Presbyopia - impaired near vision
• confrontation test, position yourself approximately 2 feet away from the client at eye level.
• Visual fields:

  Inferior - 70 degrees