Chapter 08: Assessing the Breasts

Chapter 08: Assessing the Breasts

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is conducting a health history for a patient who seeks care for breast pain. Which question from the nurse is most appropriate?

1)	“Where is the lump or mass located?”
2)	“Is there discomfort when you palpate your breast?”
3)	“When did you notice the lump?”
4)	“Have you had a recent injury to your breast?”

 

 

____     2.   Which is the first step when teaching a patient to perform a breast self-examination?

1)	Using the pads of the fingers to palpate the breast symmetrically
2)	Compressing the nipple looking for discharge
3)	Inspecting the breasts in the mirror
4)	Reporting any redness or inflammation

 

 

____     3.   The nurse is assessing a patient who is prescribed oral contraceptives. Which hormones are responsible for the growth in breast size that occur when this drug is prescribed to a patient?

1)	Testosterone and progesterone
2)	Progesterone and estrogen
3)	Estrogen and oxytocin
4)	Oxytocin and prolactin

 

 

____     4.   The nurse is assessing a patient who presents with nipple discharge. Which question from the nurse is appropriate?

1)	“Have you ever had this problem before?”
2)	“How would you rate your pain on a scale of 0 to 10?”
3)	“Has there been a change in your bra size?”
4)	“Have you had any nipple piercings?”

 

 

____     5.   A new mother is concerned because she notices a white, milky discharge from her newborn’s nipples. Which explanation by the nurse is most appropriate?

1)	“This is an abnormal finding, and the drainage will be cultured.”
2)	“This is an abnormal finding and may be indicative of diabetes.”
3)	“This is a normal finding and will disappear in a few days.”
4)	“This is a normal finding and will disappear when the mother stops breastfeeding.”

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter number and title: 8, Assessing the Breasts

Chapter learning objective: N/A

Chapter page reference: 229

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Assessment

Difficulty: Moderate

	Feedback
1	Asking the patient where a lump or mass is located is more appropriate if the patient presents with a mass versus breast pain.
2	It is appropriate for the nurse to ask the patient if there is discomfort with palpation when the patient presents with breast pain.
3	Asking the patient when a lump was first noticed is more appropriate if the patient presents with a mass versus breast pain.
4	Asking the patient if there was a recent injury to the breast is more appropriate if the patient presents with a mass versus breast pain.

 

 

PTS:   1                    CON:  Assessment

 

2. ANS:  3

Chapter number and title: 8, Assessing the Breasts

Chapter learning objective: N/A

Chapter page reference: 229

Integrated Processes: Teaching and Learning

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Health Promotion

Difficulty: Moderate

	Feedback
1	This is the second step when teaching a patient how to perform a breast self-examination.
2	This is the third step when teaching a patient how to perform a breast self-examination.
3	This is the first step when teaching a patient how to perform a breast self-examination.
4	This is the fourth step when teaching a patient how to perform a breast self-examination.

 

 

PTS:   1                    CON:  Health Promotion

 

3. ANS:  2

Chapter number and title: 8, Assessing the Breasts

Chapter learning objective: N/A

Chapter page reference: 232

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Medications

Difficulty: Easy

	Feedback
1	Testosterone is a male hormone. Progesterone influences breast growth in conjunction with estrogen, the female hormone.
2	Estrogen and progesterone, the hormones found in many oral contraceptives, cause breast growth.
3	Estrogen and oxytocin are not the two hormones in oral contraceptives that lead to breast growth.
4	Oxytocin and prolactin are not the two hormones in oral contraceptives that lead to breast growth.

 

 

PTS:   1                    CON:  Medications

 

4. ANS:  1

Chapter number and title: 8, Assessing the Breasts

Chapter learning objective: N/A

Chapter page reference: 231

Integrated Processes: Nursing Process: Assessment

Client Need: Physiological Integrity: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Female Reproduction

Difficulty: Moderate

	Feedback
1	An appropriate question to ask the patient with nipple discharge is whether the patient has experienced the problem before.
2	Asking the patient to rate pain is more appropriate for a patient who presents with breast discomfort.
3	Asking the patient if there is a change in breast size is more appropriate for a patient who presents with breast pain or a breast mass.
4	Asking the patient if there is a history of nipple piercings is more appropriate for a patient who presents with pain versus discharge.

 

 

PTS:   1                    CON:  Female Reproduction

 

5. ANS:  3

Chapter number and title: 8, Assessing the Breasts

Chapter learning objective: N/A

Chapter page reference: 226

Integrated Processes: Nursing Process: Implementation

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Development

Difficulty: Moderate

	Feedback
1	This is not an abnormal finding.
2	Gestational diabetes is associated with increased birth weight.
3	At birth, the infant’s nipple is elevated, and a slight secretion of milky material (witch’s milk) may occur for 5 to 7 days after birth.
4	Although this is a normal finding, it will not disappear when the mother stops breastfeeding. It typically only occurs for 5 to 7 days after birth.

 

 

PTS:     1          CON:   Development