After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

I should lie down with my arms at my side when looking at my breasts

I should use the finger pads of my three middle fingers to apply pressure to my breast

I don’t need to check under my arm on that side if my breast feels fine

I need to work from left to right down my breast towards my ribs

Answer and Explanation

The Correct Answer is B

Choice A rationale
While lying down can be part of the breast self-examination process, the arms should not be at the side. Instead, they should be raised above the head to spread the breast tissue evenly over the chest.
Choice B rationale
The finger pads of the three middle fingers are used to apply pressure to the breast during a self-exam. This allows for a thorough examination of the breast tissue for any lumps or abnormalities. This is the correct method for performing a breast self-examination.
Choice C rationale
Even if the breast feels fine, it is important to check under the arm. The lymph nodes located in this area can swell due to breast cancer.
Choice D rationale
While examining the breast, it is not necessary to work from left to right towards the ribs. The important thing is to cover the entire breast area, including the armpit.

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Correct Answer is C

Explanation

Choice A rationale

In infants with asymmetric intrauterine growth restriction (IUGR), not all body parts appear proportionate. Typically, the head is disproportionately larger compared to the rest of the body.
Choice B rationale
While the extremities can be smaller in infants with IUGR, this is not specific to asymmetric IUGR910.
Choice C rationale
In asymmetric IUGR, the head seems large compared with the rest of the body. This is because the body slows its growth to allow the brain to continue growing.
Choice D rationale
One side of the body appearing slightly smaller than the other is not a typical characteristic of asymmetric IUGR910.

A. The baby has a square window angle of 90 degrees. B. The baby has leathery and cracked skin. C. The baby has a popliteal angle of 90 degrees. D. The baby has pronounced plantar creases.

Correct Answer is A

Explanation

Choice A is correct. The square window angle, formed by the intersection of the ear and the jawline, is an important physical assessment finding in neonates. In full-term babies, this angle is typically greater than 90 degrees, appearing more rounded. However, in preterm babies, the angle is often closer to 90 degrees, appearing more square due to underdeveloped facial features and subcutaneous tissue.

Choice B is incorrect. While leathery and cracked skin can be present in both term and preterm babies, it's not a specific indicator of prematurity alone. It can be caused by various factors like intrauterine growth restriction, dehydration, or underlying skin conditions.

Choice C is incorrect. The popliteal angle, formed by flexing the knee and measuring the angle between the thigh and lower leg, is not a reliable indicator of prematurity. It can vary even among term babies and is influenced by other factors like muscle tone and positioning.

Choice D is incorrect. Pronounced plantar creases, the lines on the soles of the feet, are also not specific to prematurity. While they may be deeper in some preterm babies, they can also be present in full-term infants and their depth can vary greatly between individuals.

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After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

Correct Answer is C

Explanation

For which reason would a nurse in the well-baby nursery report to the neonatologist that a newborn appears to be preterm?

Correct Answer is A

Explanation

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