Chapter 63--Breast Alterations: Nursing Management

Chapter 63–Breast Alterations: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client who has just given birth is planning on breastfeeding the baby. The nurse realizes that which of the following hormones influences breast milk secretion?

1.	Follicle-stimulating hormone
2.	Luteinizing hormone
3.	Oxytocin
4.	Prolactin

 

 

ANS:  4

Prolactin is necessary for breast formation and the production of breast milk. Oxytocin is responsible for uterine contractions and the breast milk “let down.” Follicle-stimulating hormone stimulates the production of sperm and ova. In men, luteinizing hormone stimulates testosterone needed for sperm production, and in women, it stimulates ovulation.

 

PTS:   1                    DIF:    Analyze

REF:   Breast Alternations during Maturational Phases: Effects of Hormones on Breast Tissue; Changes During Pregnancy

 

2. The nurse is instructing a female client about breast self-examination. Which of the following instructions would not be correct for the nurse to provide?

1.	“A menstruating woman should check her breast monthly 8 days following her menses.”
2.	“An inverted nipple is not a cause for alarm.”
3.	“During menopause, you should check your breasts once a month during the same time frame.”
4.	“Visually check the breasts in front of a mirror.”

 

 

ANS:  2

An inverted nipple is not necessarily a cause for alarm if it has been present since puberty, but any change in the nipple or breast tissue should be evaluated. The other instructions would be appropriate for the nurse to provide.

 

PTS:   1                    DIF:    Apply            REF:   Examination of the Breast

 

3. A client who has been breastfeeding a newborn for the last 3 months is experiencing an inflammation of the breast. The nurse realizes this client is experiencing:

1.	intraductal papilloma.
2.	mastalgia.
3.	mastitis.
4.	mastodynia.

 

 

ANS:  3

Mastitis, inflammation of the breast, may be caused from irritation, injury, or infection, and it most commonly occurs within the first 3 months after childbirth. Mastalgia and mastodynia are terms that refer to breast pain. Intraductal papilloma is a small benign tumor that grows within the terminal portion of a solitary milk duct of the breast.

 

PTS:   1                    DIF:    Analyze         REF:   Mastitis

 

4. During the examination of a female client’s breasts, the nurse determines that which of the following assessment findings would be normal?

1.	Nipple discharge
2.	Masses
3.	Scaling
4.	Symmetrical nipples

 

 

ANS:  4

Symmetrical nipples would be considered a normal finding. All the other options are abnormal findings.

 

PTS:   1                    DIF:    Analyze         REF:   Examination of the Breast

 

5. The nurse is instructing a female client on the importance of having routine mammograms because mammograms:

1.	can detect masses before they become palpable.
2.	involves no radiation.
3.	has a 25% rate of false positives.
4.	combines a blood test with radiology.

 

 

ANS:  1

Mammography is a radiological procedure that is useful because it allows visualization of benign and malignant disorders before they become palpable. The rate of false positives is 5% to 10%. Mammography does use radiation. Mammography does not include a blood test.

 

PTS:     1          DIF:     Apply  REF:    Diagnostic Tests: Mammography