Chapter 10: Problems of the Breast Lowdermilk: Maternity & Women’s Health Care, 11th Edition

TEST BANK FOR MATERNITY & WOMEN’S HEALTH CARE 11TH EDITION BY LOWDERMILK Chapter 10: Problems of the Breast Lowdermilk: Maternity & Women’s Health Care, 11th Edition MULTIPLE CHOICE 1. A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share? a. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts. b. It is a premalignant disorder characterized by lumps found in the breast tissue. c. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles. d. Lumpiness is accompanied by tenderness after menses. CORRECT ANSWER: C Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. Fibrocystic changes are not premalignant changes; this information is inaccurate. Tenderness most often occurs before menses. DIF: Cognitive Level: Apply REF: p. 212 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. A nurse is providing education to a support group of women newly diagnosed with breast cancer. It is important for the nurse to discuss which factor related to breast cancer with the group? a. Genetic mutations account for 50% of women who will develop breast cancer. b. Breast cancer is the leading cause of cancer death in women. c. In the United States, 1 in 10 women will develop breast cancer in her lifetime. d. The exact cause of breast cancer remains unknown. CORRECT ANSWER: D The exact cause of breast cancer is unknown. Between 15% and 20% of these cancers are related to genetic mutations. Breast cancer is the second leading cause of cancer death in woman ages 45 to 55 years. One in eight women in the United States will develop breast cancer in her lifetime. DIF: Cognitive Level: Apply REF: p. 215 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. Which diagnostic test is used to confirm a suspected diagnosis of breast cancer? a. Mammogram b. Ultrasound c. Needle-localization biopsy d. Magnetic resonance imaging (MRI) CORRECT ANSWER: C When a suspicious mammogram is noted or a lump is detected, diagnosis is confirmed by either a core-needle biopsy or a needle-localization biopsy. Mammography is a clinical screening tool that may aid in the early detection of breast cancers. TrCORRECT ANSWERillumination, thermography, and ultrasound breast imaging are being explored as methods for detectingearly breast carcinoma. An MRI is useful in women with masses that are difficult to find (occult breast cancer). DIF: Cognitive Level: Understand REF: p. 218 TOP: Nursing Process: Diagnosis MSC: Client Needs: Physiologic Integrity