NUR-265 GU breast week 8 || A+ Score Secured.
development and culture correct answers • Infant/neonate
• Adolescent
• Pregnant female (discharge can be a normal finding)
• Aging female: Menopause (atrophy occurs in breasts and lump are harder to find)
• Male breast: Gynecomastia
gynecomastia correct answers development of breast tissue in males (due to decreased
testosterone especially in elderly)
health history questions correct answers • Pain (PQRST)
• Lump (PQRST)
• Discharge (can be expected in pregnancy)
• Rash
• Swelling
• Trauma
• History of breast disease
• Surgery or Radiation
• Medications (BIRTH CONTROL)
• Self Care (are you getting mammograms annually, Self-checking in the mirror)
• Axilla (breast tissue goes up into the axillae; lumps can often be missed here)
Risk factors for breast cancer HIGHER RISK correct answers • Female
• Age 65+
• 2 or more relatives with breast cancer diagnosed at early age
• Personal hx of breast cancer (onset< 40 years of age)
, • Mammographically dense breasts
• Biopsy confirmed atypical hyperplasia (not cancerous but can become cancerous)
• Genetic mutations such as BRCA1 & 2, HER2
Risk factors for breast cancer LOWER RISK correct answers • 1 relative with breast cancer
• High dose radiation to the chest
• Personal history of breast cancer (40+ years)
• Obesity
• Smoking
• Alcohol
Early detection correct answers Mammography
• American cancer society recommendations
• Optional for Average risk - begin age 40-44
• Annually age 45-55
• Biennially age >55
Monthly self breast exam
• Best after menstrual cycle
physical exam-breast inspection correct answers • General Appearance
• Skin
• Lymphatic drainage areas (should not have any discharge unless they are breastfeeding)
• Nipple
• Maneuvers to screen for
retraction
• Axillae
development and culture correct answers • Infant/neonate
• Adolescent
• Pregnant female (discharge can be a normal finding)
• Aging female: Menopause (atrophy occurs in breasts and lump are harder to find)
• Male breast: Gynecomastia
gynecomastia correct answers development of breast tissue in males (due to decreased
testosterone especially in elderly)
health history questions correct answers • Pain (PQRST)
• Lump (PQRST)
• Discharge (can be expected in pregnancy)
• Rash
• Swelling
• Trauma
• History of breast disease
• Surgery or Radiation
• Medications (BIRTH CONTROL)
• Self Care (are you getting mammograms annually, Self-checking in the mirror)
• Axilla (breast tissue goes up into the axillae; lumps can often be missed here)
Risk factors for breast cancer HIGHER RISK correct answers • Female
• Age 65+
• 2 or more relatives with breast cancer diagnosed at early age
• Personal hx of breast cancer (onset< 40 years of age)
, • Mammographically dense breasts
• Biopsy confirmed atypical hyperplasia (not cancerous but can become cancerous)
• Genetic mutations such as BRCA1 & 2, HER2
Risk factors for breast cancer LOWER RISK correct answers • 1 relative with breast cancer
• High dose radiation to the chest
• Personal history of breast cancer (40+ years)
• Obesity
• Smoking
• Alcohol
Early detection correct answers Mammography
• American cancer society recommendations
• Optional for Average risk - begin age 40-44
• Annually age 45-55
• Biennially age >55
Monthly self breast exam
• Best after menstrual cycle
physical exam-breast inspection correct answers • General Appearance
• Skin
• Lymphatic drainage areas (should not have any discharge unless they are breastfeeding)
• Nipple
• Maneuvers to screen for
retraction
• Axillae
