Exam 17: Breasts and Regional Lymphatics

A 14-year-old girl is anxious about not having reached menarche.When taking the health history,the nurse should ascertain which of the following? The age that:

A woman is in the family planning clinic seeking birth control information.She states that her breasts "change all month long" and that she is worried that this is unusual.What is the nurse's best response? The nurse should tell her that:

During a breast examination on a female patient,the nurse notices that the nipple is flat,broad,and fixed.The patient states it "started doing that a few months ago." This finding suggests:

During a discussion about BSEs with a 30-year-old woman,which of these statements by the nurse is most appropriate?

While inspecting a patient's breasts,the nurse finds that the left breast is slightly larger than the right with the bilateral presence of Montgomery glands.The nurse should:

The nurse is performing a breast examination.Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:

A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination.She is concerned about changes in her breasts that she has noticed over the past 5 years.She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat and flabby." The nurse's best reply would be:

Which of the following statements is true regarding the internal structures of the breast? The breast is made up of:

A new mother calls the clinic to report that part of her left breast is red,swollen,tender,very hot,and hard.She has a fever of 38.3° C.She also has had symptoms of influenza,such as chills,sweating,and feeling tired.The nurse notices that she has been breastfeeding for 1 month.From her description,what condition does the nurse suspect?

In performing a breast examination,the nurse knows that examining the upper outer quadrant of the breast is especially important.The reason for this is that the upper outer quadrant is:

A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer.She describes a unilateral enlargement of the right breast with associated tenderness.She is worried because the left breast is not enlarged.What would be the nurse's best response? Tell the mother that:

Which of these clinical situations would the nurse consider to be outside normal limits?

The nurse is assessing the breasts of a 68-year-old woman and discovers a mass in the upper outer quadrant of the left breast.When assessing this mass,the nurse is aware that characteristics of a cancerous mass include which of the following? Select all that apply.

The nurse is reviewing statistics regarding breast cancer.Which woman,aged 40 years in the United States,has the highest risk for developing breast cancer?

If a patient reports a recent breast infection,then the nurse should expect to find ________ node enlargement.

During a breast health interview,a patient states that she has noticed pain in her left breast.The nurse's most appropriate response to this would be:

In examining a 70-year-old male patient,the nurse notices that he has bilateral gynecomastia.Which of the following describes the nurse's best course of action?

The nurse has palpated a lump in a female patient's right breast.The nurse documents this as a small,round,firm,distinct,lump located at 2 o'clock,2 cm from the nipple.It is nontender and fixed.No associated retraction of the skin or nipple,no erythema,and no axillary lymphadenopathy are observed.What information is missing from the documentation?

The nurse is reviewing risk factors for breast cancer.Which of these women have risk factors that place them at a higher risk for breast cancer?

The nurse is assisting with a BSE clinic.Which of these women reflect abnormal findings during the inspection phase of breast examination?