Author Question: The nurse is performing a breast examination. Which of these statements best describes the correct ... (Read 58 times)

oliviahorn72 · **on:** Jun 25, 2018

The 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.

Question 2

During an examination of a woman, the nurse notices that her left breast is slightly larger than her right breast. Which of these statements is true about this finding?

a. Breasts should always be symmetric.
b. Asymmetry of breast size and shape is probably due to breastfeeding and is nothing to worry about.
c. Asymmetry is not unusual, but the nurse should verify that this change is not new.
d. Asymmetry of breast size and shape is very unusual and means she may have an inflammation or growth.

Sierray · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The woman should be directed to change position while checking the breasts for signs of skin retraction. Initially, she should be asked to lift her arms slowly over her head. Both breasts should move up symmetrically. Retraction signs are due to fibrosis in the breast tissue, usually caused by growing neoplasms. The nurse should notice whether movement of one breast is lagging.

Answer to Question 2

ANS: C
The nurse should notice symmetry of size and shape. It is common to have a slight asymmetry in size; often the left breast is slightly larger than the right. A sudden increase in the size of one breast signifies inflammation or new growth.