A functional assessment is the most appropriate type of ...

[oliviahorn72]

A functional assessment is the most appropriate type of evaluation of well older patients. A basic component of the functional assessment is:
 
  A. Activities of Daily Living (ADL) score
  B. Instrumental Activities of Daily Living (IADL) score
  C. 10-minute Screener for Geriatric Conditions
  D. All of the above

Question 2

Which of the following can cause abruptio placenta?
 
  A. Uterine trauma
  B. Gestational HTN
  C. Coagulopathy
  D. All of the above

[zenzy]

Answer to Question 1

ANS: D
For the well elderly, the 10-Minute Screener for Geriatric Conditions is a useful tool for general practice (Bluestein & Rutledge 2006). This brief screening tool (Table 20.2) addresses vision, hearing, leg mobility, urinary incontinence, nutrition and weight loss, memory, depression, and physical disability. Using a combination of subjective and objective measures, the 10-Minute Screener covers all the basic ADL and IADL functions in a manner that fits well within the outpatient examination. A positive screen requires further evaluation, in some cases by a specialist or a geriatric specialist.

Answer to Question 2

ANS: D
Trauma, hypertension, or coagulopathy contributes to the avulsion of the anchoring placental villi from the expanding lower uterine segment, which, in turn, leads to bleeding into the decidua basalis. This can push the placenta away from the uterus and cause further bleeding. Bleeding through the vagina, called overt or external bleeding, occurs 80 of the time, though sometimes the blood will pool behind the placenta, known as concealed or internal placental abruption. Women may present with vaginal bleeding, abdominal or back pain, abnormal or premature contractions, and fetal distress or death.