Breast & Genital Assessment - Unit 3

Question 1

A breast assessment (self) should be done when?

Answer 1

Every month, 2-3 days after menstrual cycle, or every month at the same time for post-menopausal ladies.

Question 2

1 in __ women are diagnosed with breast cancer.

Answer 2

1 in 8.

Question 3

How should we position someone for a breast examination?

Answer 3

Arms at side, arms over head, for augmented breasts = hands pressed against hips or pushing together in front of chest.)
Leaning forward.

Question 4

What do we look for?

Answer 4

Skin characteristics, size, contour, symmetry, tanner stage (child/teen), abnormal things are : lesions, dimpling, retractions, discharge, nipple changes, peau d’orange.

Question 5

What is peau d’orange?

Answer 5

Skin that looks like an orange! Is pitted and is..orange!

Question 6

Boob Symmetry - rounded and slightly ___.

Answer 6

Asymmetric. Abnormal would be if they were totally different!

Question 7

Normal breast color is …

Answer 7

uniform in color, smooth and intact, with some striae.

Question 8

Abnormal coloring is …

Answer 8

localized discoloration, dimpling, or includes retractions of the skin.

Question 9

Nipples and Areola - should be…

Answer 9

round or oval, equal, everted, light pink to dark brown, without asymmetry, masses, lesions, inverted-ness, discharge, crusts or cracks.

Question 10

Males with boobs =

Answer 10

gynecomastia. (Hi Bruceita!)

Question 11

Breasts get bigger over time. T/F?

Answer 11

False (unless you’re Kim Kardashian!)

They get smaller because of glandular atrophy!

Question 12

Tanner Staging - girls age 10-11 have..

Answer 12

public hair 2 years before axilllary.

Question 13

Tanner Staging - menstruation starts between stages..

Answer 13

2-4

Question 14

What are the palpation positions for the breast?

Answer 14

Sitting/supine (arm above head/pillow under shoulder.)

Question 15

What is the sequence of palpation for the breast?

Answer 15

We check the 4 quadrants, the tail of spence (right up by the armpit), nipple and lymph nodes (axillary.)

Question 16

When feeling the breast, we move in what pattern…

Answer 16

Parallel lines, concentric circles, and a wheel/wedge pattern.

Question 17

Lymph Nodes felt for breast palpation -

Answer 17

Axillary - Anterior, Central, posterior, Lateral

Supraclavicular, Infraclavicular.

Question 18

What are some questions for the subjective assessment of Female Genitalia?

Answer 18

Uterine bleeding, meanstrual history, age at menarche, medications, BC, vaginal discharge (douching habits), urinary symptoms, pelvic pain, sexual activity, reproductive history, STD history, kids (what kind of births), etc.

Question 19

What are some warning signs of Sexually Transmitted Diseases?

Answer 19

Pain or burning on urination, pain in pelvic area, bleeding between periods, itchy rash around vagina, vaginal discharge with fishy or foul odor.

Question 20

We will inspect the external genitalia, inspect and palpate bladder area, and palpate the inguinal nodes. T/F?

Answer 20

True!

Question 21

Female Genitalia Inspection - may do during ___, drape/standard precautions, and need good lighting.

Answer 21

BATH.

Question 22

Inspect the distribution, amount and characteristics of ___ ___, inspect & palpate __ area for pain, swelling, and hardness, inspect the skin of the __ __ for parasites, swelling and hardness, inspect the clitoris, urethral orifice and vaginal orifice when separating the __ ___.
Palpate the __ lymph nodes.

Answer 22

Pubic hair.
Skin.
Pubic hair.
Labia Minora.
Inguinal.

Question 23

Wipe from __ to ___.
Do ___ exercises.
Do __ hygiene.
Get a __ __ yearly!

Answer 23

Front to back!
Kegel’s!
Perineal hygiene.
Pap smear!

Question 24

Male Genitalia - ask about…

Answer 24

Urethral discharge, palpable masses, medications, ED, drug use, alcohol use, tobacco use, testicular self exam (start at age 15), etc.

Question 25

What do we assess with male genitalia?

Answer 25

Pubic hair, shaft, lesions, swelling, inflammation, inspect and palpate the bladder, tenderness, etc.

Question 26

Scrotum should have little ridges. T/F?

Answer 26

True!

Question 27

Testicular Self Exam - should start at age ___. Should be done at the same time each ___.

Answer 27

15/each month.