Health Assessment: Breast
B. Lactiferous duct
C. Montgomery follicle
D. Tail of Spence
E. Coopers ligament
A. upper inner quadrant.
B. lower inner
C. tail of Spence.
D. upper outer quadrant.
E. lower outer
A. halves (upper and lower).
B. thirds (left, middle, and right).
C. four quadrants plus a tail.
D. circles (six consecutive rings, each 1 inch farther away from nipple).
E. radial portions 1 through 6.
A. benign breast lumps.
B. emptying of milk ducts.
C. nipple inversion.
D. nipple tenderness.
E. tension on the suspensory ligaments of Cooper.
B. patients with lung disease.
C. adolescent girls.
D. prepubertal girls.
E. pregnant women.
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4 VERIFY!
E. Stage 5
A. The amount of connective tissue increases.
B. Epithelial secretory activity decreases.
C. Alveoli increase in size and number.
D. Vascularization decreases.
E. Lactiferous ducts diminish.
A. At conception
B. During the first trimester of pregnancy
C. During the second trimester of pregnancy
D. At delivery
E. 2 to 4 days after delivery
A. Thickening of the inframammary ridge
B. Hypertrophy of glandular tissue
C. Increase in number of lactiferous ducts
D. Reduction of fat deposits
E. Shortening of Cooper’s ligaments
A. its relationship to menses.
B. weight gain.
C. sleep patterns.
D. immunization status.
E. alcohol consumption.
A. forgo the examination if the patient has had a recent mammogram.
B. keep the patient covered to respect modesty.
C. dim the lights to minimize anxiety.
D. inspect both breasts simultaneously.
E. begin with palpation of the breasts.
A. Drinking three glasses of wine per week
B. Early menopause
D. Late menarche
E. Young age at birth of first child.
A. Vacutainer tube.
B. glass slide and fixative.
C. specimen jar with formaldehyde.
D. tape strip to test pH.
E. needle and syringe.
A. recline on the table with his arms overhead.
B. sit with his arms hanging at his sides.
C. sit with his hands on his hips.
D. stand with his arms clasped behind his back.
E. stand leaning forward.
A. note the finding in the patient’s record.
B. ask the patient if she has ever had breast cancer.
C. tell the patient to get a mammogram as soon as possible.
D. tell the patient to get a mammary sonogram as soon as possible.
E. tell the patient to stop caffeine intake.
A. Convex or conical shape
B. Skin dimpling or retraction
C. Pendulous and loose breasts
D. Unequal shape or contour
E. Lifelong inverted nipple
A. bilaterally visible.
B. seen in obese patients.
D. observed during pregnancy.
E. associated with a long-standing unchanging nevus.
A. Unilateral leakage of bloody fluid
B. Bilateral leakage of bloody fluid
C. Bilateral pronounced venous patterns
D. Reddened areas in the tail of Spence
E. Peau d’orange appearance
A. instruct her that this is a side effect of birth control injection therapy.
B. suggest pregnancy testing.
C. question her use of tanning beds.
D. schedule an appointment with a surgeon.
E. recommend she remove caffeine from her diet.
A. in the axilla.
B. in the upper inner quadrant.
C. on or around the nipple.
D. at the inframammary ridge.
E. in the tail of Spence.
A. normal finding.
B. sign of carcinoma.
C. skin disease.
D. symptom of malnutrition.
E. sign of late menarche.
A. Bilateral nipple inversion
B. Fixed stonelike nodule
C. Serous nipple drainage
D. Unequal nipple axis
E. Paget disease of the breast
C. benign breast disease.
A. Light areolae
B. Nipple inversion
C. Retracted areolae
D. Supernumerary nipples
E. Nipple and areolar colors do not match.
B. finger pads
C. palms of the hands
D. ulnar surface of the hands
A. according to illustration, without a narrative.
B. according to clock positions from the nipple.
C. measured with calipers from the nipple.
D. measured in centimeters from the sternal notch.
E. measured in centimeters from the axilla.
A. ask the patient if she has a history of breast cancer.
B. refer the patient for biopsy.
C. ask the patient to have a mammogram as soon as possible.
D. record the finding in the patient’s record.
E. tell the patient to stop drinking alcohol.
B. a heavy smoker.
E. an alcoholic.
A. apply an Ace wrap compression bandage for 6 hours a day.
B. return for evaluation in 6 months if the problem persists.
C. obtain a surgical referral for needle biopsy.
D. discontinue all contact sports.
E. administer urine screen for illicit drugs.
A. into the midclavicular region.
B. toward the supraclavicular area.
C. down into the inframammary ridge.
D. into the axillae.
E. along the sternal border.
A. her arms straight alongside her body.
B. both arms overhead with her palms upward.
C. her hands clasped just above her umbilicus.
D. one arm overhead and a pillow under her shoulder.
E. both hands pressed against her hips.
A. depressing it behind the areola.
B. pressing it against the rib cage.
C. pulling it outward and releasing it.
D. rolling it in a clockwise motion.
E. inverting the nipple.
A. raised full above the head.
B. extended at the side.
C. pressed against the hip.
D. crossed over the chest.
E. flexed at the elbow.
A. inferiorly toward the abdomen.
B. laterally toward the corresponding arm.
D. medially toward the sternum.
E. inferomedially toward the xiphoid.
A. anterior cervical
E. internal mammary
A. apply lotion to your hands.
B. use both hands simultaneously.
C. ask the patient to press both palms together.
D. ask the patient to lower her shoulder on that side.
E. ask the patient to turn her head toward that side.
A. enlargement and leaking are caused by maternal hormones and will likely resolve without treatment.
B. infant may have a congenital heart defect.
C. infant may need genetic testing.
D. infant needs ultrasonography of the breasts to exclude a pathologic cause.
E. infant may have mastitis.
A. lessen when the body becomes accustomed to the drug.
B. resolve after the drug is discontinued.
C. leave permanent breast enlargement when the drug is discontinued.
D. cause purulent drainage if left untreated.
E. lead to an increased risk of breast cancer
A. massage gently and continue nursing.
B. apply warm compresses and stop nursing.
C. monitor her temperature and restrict fluids.
D. sleep with a bra and wash her breasts with antibacterial soap.
E. stop nursing and restrict fluids.
B. Paget disease.
D. mammary duct ectasia.
E. fibrocystic changes.
A. retention cyst.
B. case of Paget disease.
C. supernumerary nipple.
D. fat necrosis.
E. Montgomery tubercle.
A. 10% to 20%.
B. 20% to 39%.
C. 40% to 69%.
D. 70% to 89%.
E. 88% to 99%.