NR509 Final Exam| 88 Questions| With Complete Solutions

Suspicious breast mass - answer --A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. -Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer Risk for Breast cancer - answer ---*Age* -family history of breast/ovarian CA - inherited genetic mutations, -personal history of breast cancer - high levels of endogenous hormones - breast tissue density - proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen exposure related to early menarche -age of first full-term pregnancy - late menopause. - breastfeeding for less than 1 year, - postmenopausal obesity -cigarette smoking, alcohol ingestion, - physical inactivity, and type of contraception. Characteristics of a breast cyst - answer -Soft to firm, round, mobile, often tender. The best way to examine the lateral portion of the breast - answer --Have pt roll onto the opposite hip -place her hand on her forehead. - keep shoulders pressed against the bed -palpate in the axilla, moving in a straight line down to the bra line, then move the fingers medially and palpate in a vertical strip up the chest to the clavicle. Continue in vertical overlapping strips until you reach the nipple Bacterial Vaginosis (BV) - answer --Caused by overgrowth of anaerobic bacteria (often from sex)