OB Women's Health (Breast)

Question 1

What does the lymph system do?

Answer 1

Acts as a garbage disposal for the entire body.

Question 2

what can benign breast disease include?

Answer 2

Cysts
tumors
masses
nipple discharge
infection
duct inflammation

Question 3

Name two types of benign breast masses?

Answer 3

Fibrocystic changes
fibroadenomas
lipomas
intraductal papillomas
mammary duct ectasia
mastitis
breast trauma
fat necrosis
ductal ectasis

Question 4

Name 2 signs and symptoms of benign breast masses

Answer 4

Lumps
breast discharge
bleeding or bloody nipple discharge
breast infection
    Mastitis (lactational abcess)

Question 5

What is it called when men have excessive breast tissue?

Answer 5

Gynecomastia

Question 6

When is the best time to give a breast examination?

Answer 6

one time per month after period

Question 7

Name 2 ways to diagnose an issue with breasts

Answer 7

Mammography
Galactography
Ultrasonography
MRI
Self-Breast Examination
Procedures for tissue analysis (biopsy)

Question 8

What age do women need to get annual mammogram

Answer 8

Age 40

Question 9

What can be seen on a mammogram?

Answer 9

Differences between breasts
Lumps (size, shape, and edges)
Calicifations (this can cause necrosis)

Question 10

Name 2 types of biopsies

Answer 10

Core needle -done in office/hospital; special coring needle and syringe

Fine needle-done in office; needle and syringe
Surgical (open)- day surger; removal of all or part of lump

Punch biopsy

Question 11

What is one malignant condition of the breast?

Answer 11

Carcinoma in Situ

Question 12

What role do hormones play in breast cancer?

Answer 12

From your first monthly period until menopause, estrogen stimulates normal breast cells. Having a higher lifetime exposure to estrogen may increase breast cancer risk.

Question 13

Describe the cancer staging system

Answer 13

T-Tumor size, spread
N-Nodes
M-metastasis

Prgrogresses from stage 1 to stage 4
stage 0= noninvasive

Question 14

List 3 treatment options used for breast cancer

Answer 14

Radiation
Chemotherapy
Hormonal therapy
Targeted therapy
Drugs
Lumpectomy
Simple Mastectomy
Modified Radical 
Mastectomy
Radical mastectomy
surgery / reconstructive

Question 15

List 3 things that affect the prognosis of a breast cancer diagnosis

Answer 15

Cancer stage
Cancer type
Tumor size
Lymph node involvement 
Hormone receptor leverls
presence of HER2/neu

Question 16

As a nurse what can you do for a breast cancer patient

Answer 16

Relieve pain and discomfort
Maintain skin integrity 
Promoting positive body image
Promoting positive adjustment and coping
Rehabilitation

Question 17

True or false, your breast are different sizes depending on the time of the month.

Answer 17

False- left breast usually larger

Question 18

What is the best way to maintain breast shape and contour over time

Answer 18

Sleeping on your side with pillow support
regular exercising of the pectoral muscles
Wearing bra to bed

Question 19

Name 3 things that you should see the Dr. about when it comes to breast?

Answer 19

Lump in or near breast of underarm
Thick or firm tissue near breast/underarm
Nipple discharge and tenderness
Inverted nipple
Itching or skin changes (redness, scales, dimple or pucker)
Change in size or shape

Question 20

Name 2 screenings that can detect abnormalities in breasts

Answer 20

Mammogram
Tomosynthesis (looks at heat)
Breast exams

Question 21

Name 3 risk factors of male breast cancer

Answer 21

If they're exposed to radiation
Estrogen administration
diseases associated with hyperestrogenism,Cirrhosis, Kleinfelters
Familial tendencies 
brca2 mutation