Final Exam: NR 509 NR509 Latest

Final Exam: NR 509 / NR509 (Latest

Update 2025 / 2026) Advanced Physical Assessment | Peer Questions & Answers | Grade A | 100% Correct – Chamberlain

Question:

*Breast Exam Documenting Findings

Answer:

compare the location to the time on a clock. For example, "nodule palpated at

10:00 on pt's left breast UOQ."

Although the central lymph nodes are deep, they are the most likely to be palpable during PE when assessing the Tail of Spence. It is especially important to assess for any abnormalities with lymphatic drainage in this area because that is how most carcinomas spread in this region.

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Question:

Breast Exam

Answer:

•5-7 Days after the first day of menstruation •Consistent day of the month if no periods •Inspect for symmetry, contours, and retraction •Palpation with patient supine with arm above head •Palpate in ladder pattern, circular motion for each location

Before menses, breasts have a tendency to swell and become nodular due to an increase in estrogen stimulation. So it's best to do a breast exam 5-7 days after the start of a menstrual cycle. If the patient no longer menstruates, just make sure it is around the same time of the month consistently.

Before a HCP starts a breast exam, it is important to explain to the patient how the exam will go. This is especially because the initial part of the exam involves both breasts to be exposed.

-Make sure to palpate axillae for the tail of spence -Fixed masses (likely cancerous) vs. mobile masses (likely benign)

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Question:

There are 4 views during a breast exam from the seated position:

Answer:

-Arms down by their side -Arms over their head -Hands on their hips -Lean forward

Question:

You are inspecting for: Breast Exam

Answer:

-appearance of their skin (pore size, visible veins) -Size and symmetry -any contouring (dimpling, masses) -characteristics of the nipple (inverted, discharge, cracks)

Question:

•Montgomery glands:

Answer:

•sebaceous glands, produces oily protective lubricant for lactation

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Question:

•Physiological secretion

Answer:

•with pregnancy, lactation, chest wall stimulation, sleep, and stress

Question:

•Galactorrhea:

Answer:

•milky discharge unrelated to pregnancy and lactation most commonly caused by hyperprolactinemia; other causes are hyperthyroidism and dopamine antagonists (psychotropics)

Question:

•Mammary souffle:

Answer:

•"puff of air" heard during pregnancy and lactation (venous hum)

-Often found in pregnancy d/t increased blood flow through the breast vasculature -Commonly heard during late pregnancy or lactation -Strongest in the 2nd or 3rd intercostal space at the sternal border bilaterally -Typically both systolic and diastolic

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