A 55-year-old postmenopausal woman is being seen in the clinic ...

[maegan_martin]

A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is concerned about changes in her breasts that she has noticed over the past 5 years.
 
  She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem flat and flabby. The nurse's best reply would be:
  a.
  This change occurs most often because of long-term use of bras that do not provide enough support to the breast tissues.
  b.
  This is a normal change that occurs as women get older and is due to the increased levels of progesterone during the aging process.
  c.
  Decreases in hormones after menopause causes atrophy of the glandular tissue in the breast and is a normal process of aging.
  d.
  Postural changes in the spine make it appear that your breasts have changed in shape. Exercises to strengthen the muscles of the upper back and chest wall will help prevent the changes in elasticity and size.

Question 2

The nurse is conducting a class on BSE. Which of these statements indicates the proper BSE technique?
 
  a. The best time to perform BSE is in the middle of the menstrual cycle.
  b. The woman needs to perform BSE only bimonthly unless she has fibrocystic breast tissue.
  c. The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period.
  d. If she suspects that she is pregnant, then the woman should not perform a BSE until her baby is born.

[princessflame2016]

Answer to Question 1

ANS: C
The hormonal changes of menopause cause the breast glandular tissue to atrophy, making the breasts more pendulous, flattened, and sagging.

Answer to Question 2

ANS: C
The nurse should help each woman establish a regular schedule of self-care. The best time to conduct a BSE is right after the menstrual period, or the fourth through seventh day of the menstrual cycle, when the breasts are the smallest and least congested. The pregnant or menopausal woman who is not having menstrual periods should be advised to select a familiar date to examine her breasts each monthfor example, her birth date or the day the rent is due.

[maegan_martin]

Thank you

[princessflame2016]

No problemo