NURS 247 Exam 3 Practice Questions and Correct Answers

When is a breast exam donenot done with a normal head to toe assessment unless patient voices a concern to have one done What is the anatomy of a breastmade of glandular tissue and adipose tissue, nipple surrounded by areola with Montgomery glands that produce protective lubricate when lactating What is Cooper's ligament?Suspensory ligament running vertically to hold the breast upright and attached to chest wall What is the tail of spence?"tail" of breast tissue that extends into the axilla Where are the lymph nodes for the breast and what do they dofound in axillary region and they drain breasts, each side drains the same sided breast What is some subjective data to gather for a breast exammastalgia (breast pain), lumps, tenderness, family history, previous breast illness, swelling, ask about axilla, do they perform any self-care exams What is some objective data to gathercolor variation, deformities, symmetrical, retraction or inversion How to do a breast retraction assessmentsit straight, hands above head, hands on hips, bend over -check each of these movements and watch for any unsymmetric-ness How is the breast sectioned to document where the findings arecan be into a clock for precise areas or into 4 quadrants (upper out, upper inner, lower outer, lower inner) How should the breast be palpatedpatient should lie flat with arm over head and pillow underneath shoulder to keep breast tissue flat, use flat parallel hand to go in pattern What should be palpated for on a breastmasses (size, location, shape, fixed/mobile, squishy/hard, tender), tenderness, nipple discharge, extreme warm areas What should be palpated for the axillary region and what are normal findingspalpate into armpit for the lymph nodes that drain breast tissue