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Chapter 17: Breasts and Regional Lymphatics

Chapter 17: Breasts and Regional Lymphatics

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Chapter 17: Breasts and Regional Lymphatics
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1.   Which of the following statements is true regarding 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.

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.

 
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

d.

Lateral, pectoral, axillary, and suprascapular

4.   If a patient reports a recent breast infection, then the nurse should expect to find ________ node enlargement.
a.

Nonspecific

b.

Ipsilateral axillary

c.

Contralateral axillary

d.

Inguinal and cervical

 
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 usually develop between 8 and 10 years of age.”


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