During an annual physical examination, a 43-year-old patient ...

[ts19998]

During an annual physical examination, a 43-year-old patient states that she does not perform monthly breast self-examinations (BSEs). She tells the nurse that she believes that mammograms do a much better job than I ever could to find a lump.
 
  The nurse should explain to her that:
 
  a.
  BSEs may detect lumps that appear between mammograms.
  b.
  BSEs are unnecessary until the age of 50 years.
  c.
  She is correctmammography is a good replacement for BSE.
  d.
  She does not need to perform BSEs as long as a physician checks her breasts annually.

Question 2

During an interview, a patient reveals that she is pregnant. She states that she is not sure whether she will breastfeed her baby and asks for some information about this. Which of these statements by the nurse is accurate?
 
  a. Breastfed babies tend to be more colicky.
  b. Breastfeeding provides the perfect food and antibodies for your baby.
  c. Breastfed babies eat more often than infants on formula.
  d. Breastfeeding is second nature, and every woman can do it.

[krakiolit]

Answer to Question 1

ANS: A
The monthly practice of BSE, along with clinical breast examination and mammograms, are complementary screening measures. Mammography can reveal cancers too small to be detected by the woman or by the most experienced examiner. However, interval lumps may become palpable between mammograms.

Answer to Question 2

ANS: B
Exclusively breastfeeding for 6 months provides the perfect food and antibodies for the baby, decreases the risk of ear infections, promotes bonding, and provides relaxation.