Which of the following statements is trueregarding the internal structures of the breast? The breast is made up of:a.Primarily muscle with very little fibrous tissue.b.Fibrous, glandular, and adipose tissues.c.Primarily milk ducts, known as lactiferous ducts.d.Glandular tissue, which supports the breast by attaching to the chest wall.
ANS: BThe breast is made up of glandular, fibrous (including the suspensory ligaments), and adipose tissues.DIF:Cognitive Level: Remembering (Knowledge)REF: p. 386MSC: Client Needs: General
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Get Help Now!2.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:a.The largest quadrant of the breast.b.The location of most breast tumors.c.Where most of the suspensory ligaments attach.d.More prone to injury and calcifications than other locations in the breast.
ANS: B
The upper outer quadrant is the site of most breast tumors. In the upper outer quadrant, the nurse should notice the axillary tail of Spence, the cone-shaped breast tissue that projects up into the axilla, close to the pectoral group of axillary lymph nodes.DIF:Cognitive Level: Applying (Application)REF: p. 386MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3.In performing an assessment of a woman’s axillary lymph system, the nurse should assess which of these nodes? a. Central, axillary, lateral, and sternal b. Pectoral, lateral, anterior, and sternal c. Central, lateral, pectoral, and subscapular
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d.Lateral, pectoral, axillary, and suprascapular
ANS: CThe breast has extensive lymphatic drainage. Four groups of axillary nodes are present: (1) central, (2) pectoral (anterior), (3) subscapular (posterior), and (4) lateral.DIF:Cognitive Level: Applying (Application)REF: p. 387MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4.If a patient reports a recent breast infection, then the nurse should expect to find ________ node enlargement.a.Nonspecificb.Ipsilateral axillaryc.Contralateral axillaryd.Inguinal and cervicalANS: B
The breast has extensive lymphatic drainage. Most of the lymph, more than 75%, drains into the ipsilateral, or same side, axillary nodes.DIF:Cognitive Level: Applying (Application)REF: p. 387MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5.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:a.“Don’t worry, you still have plenty of time to develop.”b.“I know just how you feel, I was a late bloomer myself. Just be patient, and they will grow.”c.“You will probably get your periods before you notice any significant growth in your breasts.”d.“I understand that it is hard to feel different from your friends. Breasts
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