NUR 265 EXAM 3 LATEST UPDATE
What are expected variations when inspecting breasts? - ANSWER: - veins may be
visible
- striae
Large breasts may have _________ or _______ on underside due to friction -
ANSWER: inflammation or excoriation
Define Peau d'orange - ANSWER: When breast tissue resembles the skin of an orange
What us peau d'orange caused by? - ANSWER: - edema, which dilates hair follicles
- associated with cancer
What are some unexpected findings when inspecting breasts? - ANSWER: - thick
rough skin
- unilateral dilated veins
- dimpling of skin
- edema
- unilateral rash
What type of medications will have an increase in breast development? - ANSWER: -
estrogen
- spironolactone
- anti- androgens
Does menopause cause breast tissue atrophy or hypertrophy? - ANSWER: Atrophy
A change in contour of the breast when a patient moves can indicate what? -
ANSWER: A mass
Dry scaling rash on the nipple and areola is associated with what? - ANSWER: Cancer
Discharge from the nipple if not lactating can indicate what? - ANSWER: Infection or
breast cancer
What is supranumerary? - ANSWER: Extra nipple(s)
Where does supranumerary usually occur? - ANSWER: Appear on embryonic milk
line that runs from breast to groin area
Is a supranumerary nipple an expected or unexpected finding? - ANSWER: Expected
A patient with a history of a mastectomy may have ______ due to disruption of
normal pathways for lymph drainage - ANSWER: lymphedema
, A rash in the axille can indicate what? - ANSWER: An infection of the sweat glands or
an irritation from shaving/deodorant
List the symptoms of breast cancer - ANSWER: - change in shape, size, color
- unilateral superficial vein dilation
- inflammation or edema
- nipple drainage
- enlarged lymph nodes
- rash on nipple/areola
- change in presentation/orientation of nipple
- retracted or dimpled area in breast tissue
- visible palpable lump
What does a vaginal inspection start with? - ANSWER: Begin with inspecting mons
pubis and outer aspect of labia majora
While inspecting mons pubis, what should be noted? - ANSWER: Pubic hair and
general skin characteristics
Inside of labia major and labia minora, will the skin be darker, lighter, or the same
than overall skin color? - ANSWER: Darker
After a vaginal delivery, what is the appearance of the labia? - ANSWER: Wrinkly
What is the vaginal introitus? - ANSWER: Vaginal opening
Perineal surface should be smooth or rough? - ANSWER: smooth
For an abdominal inspection, what position should the patient be in? - ANSWER:
Supine with head on pillow and knees slightly bent to help the muscles relax
A yellow hue on the abdomen can indicate what? - ANSWER: Jaundice or a liver
condition
Glistening or taunt skin on the abdomen can be attributed to what? - ANSWER:
Ascites
Dilated veins on abdomen and spider angiomas on abdomen can indicate what? -
ANSWER: Presence of liver disease
Is it normal to see aortic pulsations or peristaltic movements in the abdomen? -
ANSWER: Yes, in thin patients
What is important to know if there is an area with increased vascular pulsation on
the abdomen? - ANSWER: Don't palpate it because it can be the result of an
abdominal aneurysm
What are expected variations when inspecting breasts? - ANSWER: - veins may be
visible
- striae
Large breasts may have _________ or _______ on underside due to friction -
ANSWER: inflammation or excoriation
Define Peau d'orange - ANSWER: When breast tissue resembles the skin of an orange
What us peau d'orange caused by? - ANSWER: - edema, which dilates hair follicles
- associated with cancer
What are some unexpected findings when inspecting breasts? - ANSWER: - thick
rough skin
- unilateral dilated veins
- dimpling of skin
- edema
- unilateral rash
What type of medications will have an increase in breast development? - ANSWER: -
estrogen
- spironolactone
- anti- androgens
Does menopause cause breast tissue atrophy or hypertrophy? - ANSWER: Atrophy
A change in contour of the breast when a patient moves can indicate what? -
ANSWER: A mass
Dry scaling rash on the nipple and areola is associated with what? - ANSWER: Cancer
Discharge from the nipple if not lactating can indicate what? - ANSWER: Infection or
breast cancer
What is supranumerary? - ANSWER: Extra nipple(s)
Where does supranumerary usually occur? - ANSWER: Appear on embryonic milk
line that runs from breast to groin area
Is a supranumerary nipple an expected or unexpected finding? - ANSWER: Expected
A patient with a history of a mastectomy may have ______ due to disruption of
normal pathways for lymph drainage - ANSWER: lymphedema
, A rash in the axille can indicate what? - ANSWER: An infection of the sweat glands or
an irritation from shaving/deodorant
List the symptoms of breast cancer - ANSWER: - change in shape, size, color
- unilateral superficial vein dilation
- inflammation or edema
- nipple drainage
- enlarged lymph nodes
- rash on nipple/areola
- change in presentation/orientation of nipple
- retracted or dimpled area in breast tissue
- visible palpable lump
What does a vaginal inspection start with? - ANSWER: Begin with inspecting mons
pubis and outer aspect of labia majora
While inspecting mons pubis, what should be noted? - ANSWER: Pubic hair and
general skin characteristics
Inside of labia major and labia minora, will the skin be darker, lighter, or the same
than overall skin color? - ANSWER: Darker
After a vaginal delivery, what is the appearance of the labia? - ANSWER: Wrinkly
What is the vaginal introitus? - ANSWER: Vaginal opening
Perineal surface should be smooth or rough? - ANSWER: smooth
For an abdominal inspection, what position should the patient be in? - ANSWER:
Supine with head on pillow and knees slightly bent to help the muscles relax
A yellow hue on the abdomen can indicate what? - ANSWER: Jaundice or a liver
condition
Glistening or taunt skin on the abdomen can be attributed to what? - ANSWER:
Ascites
Dilated veins on abdomen and spider angiomas on abdomen can indicate what? -
ANSWER: Presence of liver disease
Is it normal to see aortic pulsations or peristaltic movements in the abdomen? -
ANSWER: Yes, in thin patients
What is important to know if there is an area with increased vascular pulsation on
the abdomen? - ANSWER: Don't palpate it because it can be the result of an
abdominal aneurysm
