NR509 Week 7 Quiz: Questions

NR509 Week 7 Quiz: Questions &

Answers

Which of the following statements is true regarding the internal structures of

the breast? The breast is made up of:

• Primarily muscle with very little fibrous tissue.
• Fibrous, glandular, and adipose tissues.
• Primarily milk ducts, known as lactiferous ducts.
• Glandular tissue, which supports the breast by attaching to the chest

wall. (Ans- b. Fibrous, glandular, and adipose tissues.

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:

• The largest quadrant of the breast.
• The location of most breast tumors.
• Where most of the suspensory ligaments attach.
• More prone to injury and calcifications than other locations in the breast.

(Ans- b. The location of most breast tumors.

In performing an assessment of a woman's axillary lymph system, the nurse should assess which of these nodes?

• Central, axillary, lateral, and sternal
• Pectoral, lateral, anterior, and sternal
• Central, lateral, pectoral, and subscapular
• Lateral, pectoral, axillary, and suprascapular

(Ans- c. Central, lateral, pectoral, and subscapular

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

• Nonspecific
• Ipsilateral axillary
• Contralateral axillary 1 / 4

• Inguinal and cervical

(Ans- b. Ipsilateral axillary

A 9-year-old girl is in the clinic for a sport physical examination. After some initial shyness she finally asks, "Am I normal? I don't seem to need a bra yet, but I have some friends who do. What if I never get breasts?" The

nurse's best response would be:

• "Don't worry, you still have plenty of time to develop."
• "I know just how you feel, I was a late bloomer myself. Just be patient,

and they will grow."

• "You will probably get your periods before you notice any significant

growth in your breasts."

• "I understand that it is hard to feel different from your friends. Breasts

usually develop between 8 and 10 years of age." (Ans- d. "I understand that it is hard to feel different from your friends.Breasts usually develop between 8 and 10 years of age."

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:

• Breast development is usually fairly symmetric and that the daughter

should be examined right away.

• She should bring in her daughter right away because breast cancer is

fairly common in preadolescent girls.

• Although an examination of her daughter would rule out a problem, her

breast development is most likely normal.

• It is unusual for breasts that are first developing to feel tender because

they haven't developed much fibrous tissue.(Ans- c. Although an examination of her daughter would rule out a problem, her breast development is most likely normal.

• / 4

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:

• The girl began to develop breasts.
• Her mother developed breasts.
• She began to develop pubic hair.
• She began to develop axillary hair.

(Ans- a. The girl began to develop breasts.

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:

• Continual changes in her breasts are unusual. The breasts of

nonpregnant women usually stay pretty much the same all month long.

• Breast changes in response to stress are very common and that she

should assess her life for stressful events.

• Because of the changing hormones during the monthly menstrual cycle,

cyclic breast changes are common.

• Breast changes normally occur only during pregnancy and that a

pregnancy test is needed at this time.(Ans- c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are common.

A woman has just learned that she is pregnant. What are some things the nurse should teach her about her breasts?

• She can expect her areolae to become larger and darker in color.
• Breasts may begin secreting milk after the fourth month of pregnancy.
• She should inspect her breasts for visible veins and immediately report

these.

• During pregnancy, breast changes are fairly uncommon; most of the

changes occur after the birth.(Ans- a. She can expect her areolae to become larger and darker in color.

• / 4

The nurse is teaching a pregnant woman about breast milk. Which statement by the nurse is correct?

• "Your breast milk is immediately present after the delivery of your baby."
• "Breast milk is rich in protein and sugars (lactose) but has very little fat."
• "The colostrum, which is present right after birth, does not contain the

same nutrients as breast milk."

• "You may notice a thick, yellow fluid expressed from your breasts as

early as the fourth month of pregnancy." (Ans- d. "You may notice a thick, yellow fluid expressed from your breasts as early as the fourth month of pregnancy."

A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise. What

explanation should the nurse offer her? After menopause:

• Only women with large breasts experience sagging.
• Sagging is usually due to decreased muscle mass within the breast.
• A diet that is high in protein will help maintain muscle mass, which keeps

the breasts from sagging.

• The glandular and fat tissue atrophies, causing breast size and elasticity

to diminish, resulting in breasts that sag.(Ans- d. The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.

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?

• Recommend that he make an appointment with his physician for a

mammogram.

• Ignore it. Benign breast enlargement in men is not unusual.
• Explain that this condition may be the result of hormonal changes, and

recommend that he see his physician.

• Explain that gynecomastia in men is usually associated with prostate

enlargement and recommend that he be thoroughly screened.(Ans- c. Explain that this condition may be the result of hormonal changes, and recommend that he see his physician.

• / 4