Breast & Genital Assessment - Unit 3 Flashcards
A breast assessment (self) should be done when?
Every month, 2-3 days after menstrual cycle, or every month at the same time for post-menopausal ladies.
1 in __ women are diagnosed with breast cancer.
1 in 8.
How should we position someone for a breast examination?
Arms at side, arms over head, for augmented breasts = hands pressed against hips or pushing together in front of chest.)
Leaning forward.
What do we look for?
Skin characteristics, size, contour, symmetry, tanner stage (child/teen), abnormal things are : lesions, dimpling, retractions, discharge, nipple changes, peau d’orange.
What is peau d’orange?
Skin that looks like an orange! Is pitted and is..orange!
Boob Symmetry - rounded and slightly ___.
Asymmetric. Abnormal would be if they were totally different!
Normal breast color is …
uniform in color, smooth and intact, with some striae.
Abnormal coloring is …
localized discoloration, dimpling, or includes retractions of the skin.
Nipples and Areola - should be…
round or oval, equal, everted, light pink to dark brown, without asymmetry, masses, lesions, inverted-ness, discharge, crusts or cracks.
Males with boobs =
gynecomastia. (Hi Bruceita!)
Breasts get bigger over time. T/F?
False (unless you’re Kim Kardashian!)
They get smaller because of glandular atrophy!
Tanner Staging - girls age 10-11 have..
public hair 2 years before axilllary.
Tanner Staging - menstruation starts between stages..
2-4
What are the palpation positions for the breast?
Sitting/supine (arm above head/pillow under shoulder.)
What is the sequence of palpation for the breast?
We check the 4 quadrants, the tail of spence (right up by the armpit), nipple and lymph nodes (axillary.)
When feeling the breast, we move in what pattern…
Parallel lines, concentric circles, and a wheel/wedge pattern.
Lymph Nodes felt for breast palpation -
Axillary - Anterior, Central, posterior, Lateral
Supraclavicular, Infraclavicular.
What are some questions for the subjective assessment of Female Genitalia?
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.
What are some warning signs of Sexually Transmitted Diseases?
Pain or burning on urination, pain in pelvic area, bleeding between periods, itchy rash around vagina, vaginal discharge with fishy or foul odor.
We will inspect the external genitalia, inspect and palpate bladder area, and palpate the inguinal nodes. T/F?
True!
Female Genitalia Inspection - may do during ___, drape/standard precautions, and need good lighting.
BATH.
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.
Pubic hair. Skin. Pubic hair. Labia Minora. Inguinal.
Wipe from __ to ___.
Do ___ exercises.
Do __ hygiene.
Get a __ __ yearly!
Front to back!
Kegel’s!
Perineal hygiene.
Pap smear!
Male Genitalia - ask about…
Urethral discharge, palpable masses, medications, ED, drug use, alcohol use, tobacco use, testicular self exam (start at age 15), etc.
What do we assess with male genitalia?
Pubic hair, shaft, lesions, swelling, inflammation, inspect and palpate the bladder, tenderness, etc.
Scrotum should have little ridges. T/F?
True!
Testicular Self Exam - should start at age ___. Should be done at the same time each ___.
15/each month.
