NR 304 - Health Assessment - Exam 2 -
Chapters 17, 26, 24, 25 (Breasts and
Regional Lymphatic’s, Female
Genitourinary System, Male
Genitourinary System, Anus, Rectum,
and Prostate)
Where do the breasts lie - answer Anterior to pectoralis major and serratus anterior
muscles
Where are the breast located - answerLocated between second and sixth ribs,
extending from side of sternum to midaxillary line
Areola - answerSurrounds nipples; contains small elevated sebaceous glands
What glands are in the areola - answerMontgomery's glands
Montgomery - answerSecrete protective lipid material during lactation
Breast is composed of - answer(1) Glandular tissue
(2) Fibrous tissue including the suspensory ligaments
(3) Adipose tissue
Glandular tissue contains - answer15 to 20 lobes that radiate from the nipple and are
composed of lobules
Within lobules are - answerClusters of alveoli that produce milk
Each lobe empties into - answerLactiferous duct
Where is the site of most breast tumors? - answerUpper outer quadrant
Upper outer quadrant is the - answerSite of most breast tumors
Four groups of axillary nodes in breast: - answerCentral axillary nodes
Pectoral (anterior) nodes
Subscapular (posterior) nodes
Lateral nodes
, Developmental Competence: Adolescent Breast - answer1. At puberty, estrogen
stimulates breast changes.
2. Occasionally one breast may grow faster than other, producing a temporary
asymmetry.
3. Five stages of breast development are correlated with Tanner Staging.
4. Beginning of breast development precedes menarche by about 2 years
Developmental Competence: Pregnant Woman Breast - answerBreast changes start
during the second month of pregnancy and are an early sign for most women
What is in colostrum - answer(Comes after delivery) Thick yellow fluid is precursor for
milk, containing same amount of protein and lactose, but practically no fat
Why is breastfeeding important? - answerThe milk and colostrum is is rich with
antibodies that protect newborn against infection
When does lactation and milk production begin? - answer1 to 3 days postpartum;
whitish color is from emulsified fat and calcium caseinate.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed.
What is the nurse's best response?
1. "You should not have any problems breast feeding because your implants do not
affect milk production."
2. "When the breast implants are inserted they usually affect the milk glands, and
breastfeeding is not possible."
3. "This would depend on which type of implants were placed and which procedure was
used by the surgeon. Check with your surgeon to see if your milk production will be
affected." - answer3 - The correct answer is 3. Milk production may vary depending on
the procedure. Many women can still breastfeed after breast augmentation (breast
surgery). The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can
determine if milk production will be affected.
Developmental Competence: Aging Woman Breast - answer1. Decreased breast size
makes inner structures more prominent.
2. A breast lump may have been present for years but is suddenly palpable.
3. Around nipple, the lactiferous ducts are more palpable and feel firm and stringy
because of fibrosis and calcification.
4. Axillary hair decreases
What happens after menopause - answerOvarian secretion of estrogen and
progesterone decreases, causing breast glandular tissue to atrophy
Male Breast - answerRudimentary structure consisting of a thin disk of undeveloped
tissue underlying nipple
Chapters 17, 26, 24, 25 (Breasts and
Regional Lymphatic’s, Female
Genitourinary System, Male
Genitourinary System, Anus, Rectum,
and Prostate)
Where do the breasts lie - answer Anterior to pectoralis major and serratus anterior
muscles
Where are the breast located - answerLocated between second and sixth ribs,
extending from side of sternum to midaxillary line
Areola - answerSurrounds nipples; contains small elevated sebaceous glands
What glands are in the areola - answerMontgomery's glands
Montgomery - answerSecrete protective lipid material during lactation
Breast is composed of - answer(1) Glandular tissue
(2) Fibrous tissue including the suspensory ligaments
(3) Adipose tissue
Glandular tissue contains - answer15 to 20 lobes that radiate from the nipple and are
composed of lobules
Within lobules are - answerClusters of alveoli that produce milk
Each lobe empties into - answerLactiferous duct
Where is the site of most breast tumors? - answerUpper outer quadrant
Upper outer quadrant is the - answerSite of most breast tumors
Four groups of axillary nodes in breast: - answerCentral axillary nodes
Pectoral (anterior) nodes
Subscapular (posterior) nodes
Lateral nodes
, Developmental Competence: Adolescent Breast - answer1. At puberty, estrogen
stimulates breast changes.
2. Occasionally one breast may grow faster than other, producing a temporary
asymmetry.
3. Five stages of breast development are correlated with Tanner Staging.
4. Beginning of breast development precedes menarche by about 2 years
Developmental Competence: Pregnant Woman Breast - answerBreast changes start
during the second month of pregnancy and are an early sign for most women
What is in colostrum - answer(Comes after delivery) Thick yellow fluid is precursor for
milk, containing same amount of protein and lactose, but practically no fat
Why is breastfeeding important? - answerThe milk and colostrum is is rich with
antibodies that protect newborn against infection
When does lactation and milk production begin? - answer1 to 3 days postpartum;
whitish color is from emulsified fat and calcium caseinate.
A pregnant woman who has breast implants asks the nurse if she can still breastfeed.
What is the nurse's best response?
1. "You should not have any problems breast feeding because your implants do not
affect milk production."
2. "When the breast implants are inserted they usually affect the milk glands, and
breastfeeding is not possible."
3. "This would depend on which type of implants were placed and which procedure was
used by the surgeon. Check with your surgeon to see if your milk production will be
affected." - answer3 - The correct answer is 3. Milk production may vary depending on
the procedure. Many women can still breastfeed after breast augmentation (breast
surgery). The surgeon would be able to determine this ability.
Answers 1 and 2 are incorrect because they may not be true. Only the surgeon can
determine if milk production will be affected.
Developmental Competence: Aging Woman Breast - answer1. Decreased breast size
makes inner structures more prominent.
2. A breast lump may have been present for years but is suddenly palpable.
3. Around nipple, the lactiferous ducts are more palpable and feel firm and stringy
because of fibrosis and calcification.
4. Axillary hair decreases
What happens after menopause - answerOvarian secretion of estrogen and
progesterone decreases, causing breast glandular tissue to atrophy
Male Breast - answerRudimentary structure consisting of a thin disk of undeveloped
tissue underlying nipple
