The nurse is palpating a female patient's breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation?
a. Supine with the arms raised over her head
b. Sitting with the arms relaxed at her sides
c. Supine with the arms relaxed at her sides
d. Sitting with the arms flexed and fingertips touching her shoulders
Question 2A patient states during the interview that she noticed a new lump in the shower a few days ago. It was on her left breast near her axilla. The nurse should plan to:
a. Palpate the lump first.
b. Palpate the unaffected breast first.
c. Avoid palpating the lump because it could be a cyst, which might rupture.
d. Palpate the breast with the lump first but plan to palpate the axilla last.
Question 3During the physical examination, the nurse notices that a female patient has an inverted left nipple. Which statement regarding this is most accurate?
a. Normal nipple inversion is usually bilateral.
b. Unilateral inversion of a nipple is always a serious sign.
c. Whether the inversion is a recent change should be determined.
d. Nipple inversion is not significant unless accompanied by an underlying palpable mass.
Question 4The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:
a. Bend over and touch her toes.
b. Lie down on her left side and notice any retraction.
c. Shift from a supine position to a standing position, and note any lag or retraction.
d. Slowly lift her arms above her head, and note any retraction or lag in movement.
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