Question and Answer | Ultimate
Review Edition | Grade A+
• In performing a breast examination, the nurse knows that it is especially
important to examine the upper outer quadrant of the breast. The reason for this
is that the upper outer quadrant is: -✓✓ ANS: the location of most breast tumors.
The upper outer quadrant is the site of most breast tumors. In the upper outer
quadrant
• In performing an assessment of a woman's axillary lymph system, the nurse
should assess which of these nodes? -✓✓ ANS: Central, lateral, pectoral, and
subscapular nodes
• If a patient reports a recent breast infection, then the nurse should expect to
find _____ node enlargement. -✓✓ ANS: ipsilateral axillary.
• A 9-year-old girl is in the clinic for a sports physical. After some initial shyness
she finally asks, "Am I normal? -✓✓ ANS: "I understand that it is hard to feel
different from your friends. Breasts usually develop between 8 and 10 years of
age."
Adolescent breast development usually begins 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. What would be the nurse's best
response? -✓✓ it is most likely normal breast development.
, • A 14-year-old girl is anxious about not having reached menarche. The age: -✓✓
ANS: she began to develop breasts
Full development from stage 2 to stage 5 takes an average of 3 years, although
the range is 1.5 to 6 years.
• A woman is in the family planning clinic seeking birth control information. She
states that her breasts "change all month long" -✓✓ ANS: Tell her that, 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? -✓✓ ANS: She can expect her areolae to
become larger and darker in color.
• The nurse is teaching a pregnant woman about breast milk. Which is correct? -
✓✓ ANS: "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 can't believe that her breasts sag so
much. -✓✓ ANS: After menopause, 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, he has bilateral gynecomastia. nurse's
best course of action? -✓✓ ANS: Explain that this condition may be the result of
hormonal changes