Reproduction Flashcards
Each breast is divided into these four quadrants?
Upper outer, upper inner, lower outer, and lower inner.
An additional triangular area of breast tissue that extends up into the axillae
The tail of Spence.
Expected findings of the skin color and condition of the breasts?
The skin over the breasts should be smooth and similar color to surrounding skin.
Which of the following tools or techniques should you plan to use during a breast assessment?
Inspection. Plan to inspect the tissue of the breast and axillae for signs of alterations in breast health.
Which of the following structures is responsible for producing an oil to provide nipple lubrication during breastfeeding?
Montgomery glands. These glands are on the surface of the areola and produce a lipid substance or sebum to provide lubrication during breastfeeding.
Which questions provides subjective data about present breast health conditions?
“Have you noticed any redness or rashes on your breasts?”
“Do you have any drainage from your nipples?”
“Have you felt any lumps during breast self-examination?”
What is an unexpected finding associated with male breast cancer?
A painless nodule near the nipple =A hard mass or nodule is on the male breast tissue is an unexpected finding and should be reported to the provider.
What should be included in an assessment of the anatomically female breast?
-Breast contour
-Axillae
-Areola condition
Discharge from one nipple
Any discharge from the nipple, outside of normal lactation, is considered an abnormal finding and may indicate abnormal pathology.
What is an expected finding of the axillae?
Smooth, moist skin
During a client assessment you noted edema of the left arm. What subjective data should you collect from the client?
“Did you have any surgery on your left breast?”
What should you include when providing instructions on performing breast self-examination to a client?
“Use the pads of the three middle fingers to examine your breasts.”
A client who is considered at low risk for breast cancer asks how often they should receive a mammogram. What is the best response?
“You should have a mammogram every two years beginning at age 50.” Current recommendations from the American Cancer Society advise a mammogram screening every 1-2 years for females aged 45 and older who have a low risk of breast cancer.
A nurse is inspecting a client’s axillae. Which of the following should the nurse identify as an expected finding?
Skin has uniform consistency. The nurse should identify that the client’s axillae should be smooth and intact.
A nurse is teaching a client about performing a breast self-examination at home. In which order should the nurse instruct the client to perform the steps?
1.) Look at the breasts in front of a mirror with hands placed on hips.
2.) Inspect the breasts for changes in shape, color, or contour.
3.) Inspect the nipples for a rash or drainage.
4.) Lie down and prepare to palpate breasts with the pads of the second, third, and fourth fingers.
5.) Palpate each breast from the outer edge, moving from top to bottom across the breast.
A nurse is preparing to review health promotion recommendations for breast health with a client. Which actions should the nurse plan to take when reviewing health promotion recommendations for breast health?
- Ask the client to describe the process for breast self-examination at the end of the teaching.
- Document instructions provided in the client’s medical record.
- Review recommendations for mammography based on risk with the client.
A nurse is teaching a group of clients about performing breast self-examinations. Which of the following instructions should the nurse include?
Breast self-examination should be done about 5 days after the menstrual cycle begins in clients who are still menstruating.
A nurse is reviewing breast self-examination techniques with a client. What client statement indicates an understanding of the techniques?
“I will use circular motions to feel the texture of my breast tissue.”
A nurse is discussing breast cancer with a group of clients. The nurse should include that which of the following findings is a potential indication of breast cancer?
-Dilation of the hair follicles, known as peau d’orange
-Nipple retraction
-A dry, scaling rash
A nurse is performing a breast inspection on a client. Which of the following findings should the nurse report to the provider?
Dimpling, warmth, or a rash
A nurse is performing a breast examination on a client and notices that the client’s right arm is edematous. What should the nurse identify as a potential cause of this condition?
Recent surgery on the right side.
A nurse is teaching a newly licensed nurse about nipple inspection. Which of the following should the nurse include as an example of an expected variation of the nipple?
A client’s nipple has remained inverted since childhood.
A nurse is teaching a group of newly licensed nurses about routine mammography screenings. What statement by the newly licensed nurse indicates an understanding of the teaching?
A 55 year old client should receive mammography screenings at least every 2 years.
A nurse is performing a breast inspection during a client’s routine examination. Which of the following findings should the nurse report to the provider?
Scaley skin at the border of one areola.
A nurse is caring for a client who reports palpable lymph nodes under one axilla. The nurse can see small nodules under the skin in the area the client describes. What should the nurse identify as a potential cause of the client’s lymph node enlargement?
Infection
