NSG6020 Final Exam Review
Breast and Lymphatics
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
breast augmentation. The surgeon would be able to determine this ability.
Breast and Lymphatics
Statement by the patient would indicate a need for further teaching?
A. "The best time to check my breasts is a week before my cycle."
B. "I will check my breasts in the shower one week after my cycle."
C. "I will exam my breast in a clock-like sequence so that I don't miss any surface area."
D. "I will be sure to check my arm pits."
A
The week before a woman's cycle is not the best time to check for lumps because the breasts
become sore and tender and may also be "lumpy" a week prior to the cycle.
Answer 2 is incorrect because the week after a woman's cycle is the best time to do the
examination, and the shower allows for ease of palpation.
Answer 3 in incorrect because a clock-like sequence is the proper way to perform a BSE.
Answer 4 is incorrect because under the arms houses lymph nodes and the axillary tail of
Spence, which is a common site for breast cancer.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed. What is
the nurse's best response?
A. "You should not have any problems breast feeding because your implants do not affect milk
production."
B. "When the breast implants are inserted they usually affect the milk glands, and breastfeeding
is not possible."
C. "This would depend on which type of implants were placed and which procedure was used
by the surgeon. Check with your surgeon to see if your milk production will be affected."
C
Milk production may vary depending on the procedure. Many women can still breastfeed after
breast augmentation. The surgeon would be able to determine this ability.
