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NURS 247 Exam 3 Breast & Axillae Questions
With Complete Solutions
Is a breast exam typically part of the head to toe assessment correct answer: no what would indicate a nurse to do a breast exam correct answer: if nurse sees something, pt voices concern, or if obvious deformity what units are breast exams typically done in correct answer: oncology and OBGYN what does the glandular tissue around the breast do correct answer: produces milk what is the nipple correct answer: milk duct openings what are the glands within the areola called correct answer: montgomery glands where is the tail of spence correct answer: upper outer quadrant, near axilla what type of ligaments are cooper ligaments correct answer: suspensory ligaments what is the structure of cooper ligaments correct answer: connective tissue that extends vertically to hold to chest wall
the nipples should be symmetrical or asymmetrical correct answer: symmetrical what is the darker area around the nipple called correct answer: areola what are montgomery glands correct answer: specialized sebaceous glands with in the areola that secrete a protective lipid during lactation what type of tissue surrounds the breast tissue correct answer: adipose what type of subjective data do you collect from a breast exam correct answer: pain, lumps, discharge, rash, swelling, trauma, hx of breast dz, medications, surgery, care, familial history what is breast pain called correct answer: mastalgia how far back do you ask about familial history of breast cancer correct answer: 2 generation what type of subjective data do you collect for the axilla correct answer: tenderness, lumps, swelling, rash what do you look for during inspection of the breast correct answer: color, lesions, shape, deformities how do you document abnormal findings on the breast correct answer: face of a clock and quadrants
what part of your hand do you use to palpate correct answer: pads of fingers what are abnormal findings of palpation of axillae correct answer: nodes what type of node could be cancerous correct answer: hard, nonmobile, nontender when are male breasts exams conducted correct answer: if they have a family hx of cancer or have some concerns about their breast how do you do a male breast exam correct answer: -inspect and palpate chest wall, noting skin surface and any lumps or swelling -palpate nipple -palpate axillae area what is gynecomastia correct answer: enlargement of breast tissue in males who is gynecomastia common in? why? correct answer: adolescent males because of hormonal changes, and those on diuretics, obese males bc of excess adipose tissue are breasts supposed to be the same size correct answer: no slight unequal size is normal what is an example of a benign breast finding correct answer: supernumerary nipple
what is a normal breast finding during pregnancy correct answer: venous engorgement and darkened areolas, tenderness what are normal breast findings in aging women correct answer: breast size and elasticity decreases, axillary hair decreases what are some abnormal findings on the breast correct answer: dimpling, breast retraction, nipple retraction, nipple inversion, peau de orange appearance, discoloration, unusual warmth, tenderness, nipple discharge, masses, rashes what is unusual warmth in the breast tissue called correct answer: mastitis when is nipple discharge a normal finding correct answer: only in lactating females what are abnormal findings in the axillae correct answer: enlarged lymph nodes, tender lymph nodes what do lymph nodes feel like if you are worried about infection correct answer: warm, boddy, tender have breast cancer rates increased or decreased? why? correct answer: decreased, possibly linked to a decrease in hormones and an increase in screenings have rates of survival of breast cancer increased or decreased correct answer: increased
