Health history question regarding headaches - ANSWER Do you have any
unusually frequent or unusually severe headaches?
Expected finding in a dark-skinned client - ANSWER Dappled brown patches
on the buccal mucosa
Weekly objectives for the Breasts and Regional Lymphatics module -
ANSWER 1. Self-review relevant anatomy & physiology 2. Outline
developmental & cultural considerations & health promotion strategies 3.
Outline & practice subjective questions 4. Identify special consideration for
advanced practice including screening tools 5. Identify guidelines for
preparation of objective data collection 6. Inspect & palpate breasts & axillae
(using breast model) 7. Identify critical findings 8. Determine when to teach
breast self-examination & the proper techniques 9. Verbally report &
document subjective & objective findings
Components of the female breast - ANSWER Breast/Mammary Glands and
Accessory reproductive organs
Landmarks of the female breast - ANSWER Quadrants, tail of Spence, nipple,
milk duct openings, and areola
Internal anatomy of the female breast - ANSWER Glandular tissue (lobes,
lobules, and alveoli), fibrous tissue (Cooper's ligaments), and adipose tissue.
Lactiferous ducts and sinuses store milk
, Axillary nodes - ANSWER Lymph nodes located in the armpit region. Four
groups: lateral, central, subscapular (posterior axillary), and pectoral
Developmental considerations of the female breast - ANSWER Breast
development begins prior to menarche and may take up to 3 years to fully
develop. One breast may grow faster than the other, and there may be
associated tenderness during this stage. Nodularity increases from midcycle
to menstruation
Changes in the pregnant female breast - ANSWER Stimulation of expansion
of the ductal system/supporting fatty tissue & true secretory alveoli.
Enlargement, nodularity, changes in areolae, and colostrum and milk
production
Changes in the elderly female breast - ANSWER Decrease in estrogen and
progesterone, atrophy of tissue, and decrease in elasticity and size
Supra-mammary nipple - ANSWER Nipple located above the breast tissue
Risk factors for breast cancer - ANSWER Obesity, nulliparity or first child
after 30, hormonal contraception, alcohol
Lifetime risk for being diagnosed with breast cancer - ANSWER 1:9
Most common cancer in women - ANSWER Breast cancer
Health history questions related to breast health - ANSWER Pain, lump,
discharge, rash, swelling, trauma, history of breast disease, surgery, self-care
behaviors, last mammogram
Incidence/mortality rate of breast cancer based on - ANSWER Socioeconomic
levels, ethnocultural background, rural locations, and inequities in access
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