Chapter 32 Female Reprod 1157 CASE STUDY Hrs. Beth Calloway, 47 years old, disco

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Chapter 32 Female Reprod 1157 CASE STUDY Hrs. Beth Calloway, 47 years old, discovered a lump in her right C. The lyngh sode exists to provide nutrients to the rapldly breast. Hrs. Calloway is in good health with no previous hospitaliza- tions or surgeries. She does not smoke or drink, watches the fat con- tent of her diet, and walks about 2 miles each day. Her family history growing cancer cells O. The lymph node is the result of cancer cells spreading to di ferent tissues within the body. is positive for breast cancer; her mother and maternal grandmother were dlagnosed with this disease before 55 years of age. Mrs. Calloway discovered her breast lump while peeforming her monthly breast self-exanination. She inmediately brought it to the attention of her aurse practitioner who, on examination, located a 2- to 3-cm (about 1-inch) mass in the 3 o'clock position of the right 3. Mr. Olouyundergoes a nodiledradical mastectomy and on the third postoperative day, her right arm becomes increasingy swollen and painful. What is the best explanation for the A·An electrolyte imbalance is creating an increase in the hydro- breast. This mass felt finm, mas well fixed to the chest wall, and was tender to the touch. No skin discoloration, nipple retraction, or static pressure in the lymphatic system B. A postoperative infection has produced the beginnings of an dralnage was identified. A pea-sized lymph node was located in the right axila. After examination, the nurse peactitioner ordered a nam- imsune response from the T lymphocytes. C. The lymphatic channels are congested with fat particles that mogram and ultrasound of the breast. Results conirmed a solid mass, 3 cm large, located in the right breast plus a 2-cm-sired lymph node are being displaced frem the trauma of surgery D. The remaining lymph nodes are inadequate to handle th lymph flow, creating an lacnease in the hydrostatic pressune in the right axilla. Mrs. Calloway was immediately referred to a sur-rs. Calloway recovers from her surgery and is scheduled to be geon who ordered a biopsy 1. Mrs. Calloway is considered to be at high risk for developing breast cancer. Which factor is most positively related to this increased risk profile? A. History of breast cancer in maternal side family members B. History of cystic beeast disease discharged from the hospital today. The nurse explales to Mrs. Calloway the inportance of contineing her monthly breast self- examination and obtaining her yearly pelvic examination and Pap smear test. Which one of the following do you recognize as the rationale for stressing these peactices to Mrs. Calloway? A. Because Mrs Calloway had breast cancet, she will be at risk to develop cervical cancer. C. Early onset of menarche . Trauma selated to the bisth of her children 8. Breast cancer oftea metastasizes to the ovarles and the pelvic examination is an important tool in early identifica 2. Which of the following best explains the existence of an tion, often think they no longer need pelvic and Pap smear tests uterine bleeding because of hormonal imbalance caused by enlarged right axillary lymph node in Hrs. Calloway? A. The lymph node is the result of an inlammatory seaction that C.Breast cancer patients will have anenorhea after surgery and 0. Breast cancer patients ase at increased risk for dysfunctional normally occurs with the onset of menses. B. The existence of the node is the result of an increased strain on the lymphatic system as a esult of cellular degeneration. the surgery- CHAPTER SUMMARY OVERVIEW OF THE FEMALE REPRODUCTIVE SYSTEM A. Function of the female reproductive system b. Accessory organs (1) Intemal genitalia-uterine tubes, uteras, and vagina- ducts or duct structures that extend from the ovaries I. The function of the female reproductive system is to pro- 2. It produces eggs, or female gametes, which each may unite 3. It also can provide nutrition and protection to the offipring Structural plan of the female reproduction system duce offspring and thereby ensure continuity of the genetic to the exterior (2) External genitalia-the vulva code with a male gamete to form the first cell of an offspring C. Perineum for up to several years after conception (Figure 32-1) (3) Additional sex glands such as the imammary glands . The perineum is the skin-covered region between the vagi- nal orifice and the rectum 2. This area may be torn during childbith I. Reproductive organs are classified as essential or accessory OVARIES a. Essential osgans-gonads are the paired ovaries; ga A. Location of the ovaries meles are ova produced by the ovaries-the ovaries ae . The ovaries are nodular glands located on each side of the uterus, below and behind the uterine tubes (Figure 32-2) mctes are ova ovaries -the ovaries are also internal genitalia 2. Ectopic pregnancy-development of the fetus in a place other than the uterus

Explanation / Answer

1.A is the right choice as there is a family history of breast cancer at an early age.

2.c is the right choice as lymph nourishes the growing cancer cell.

3.A is the right answer as swelling is caused due to the increase in protein content in the area.

4.C is the right answer of the situation.

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