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BOC-CMF practice questions

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Question 1Mastectomy Fitting Practice and Patient Care

A patient is scheduled for a mastectomy fitting. Which measurement is most essential to determine the appropriate bra band size?

  1. Shoulder width
  2. Cup depth
  3. Underbust circumference Correct answer.
  4. Neck circumference

Explanation

Band size is derived from the circumference measured snugly around the ribcage directly beneath the breast area. This baseline determines the starting point from which cup volume is then calculated. Other measurements refine fit but do not establish band size.

Question 2Mastectomy Fitting Practice and Patient Care

Which term describes a breast prosthesis designed to be worn directly against the skin inside a bra pocket or holder?

  1. Attachable prosthesis
  2. Weighted shell
  3. Contact prosthesis Correct answer.
  4. Self-adhering form

Explanation

A contact prosthesis is worn in direct contact with the chest wall, relying on skin adhesion or a tacky surface rather than a fabric pocket. This style can improve stability and natural movement for some wearers. It differs from forms held in a bra pocket or attached with adhesive tabs to the bra.

Question 3Mastectomy Fitting Practice and Patient Care

Why should a silicone breast prosthesis be removed before sleeping?

  1. To avoid stretching the bra straps
  2. To prevent the silicone from discoloring
  3. To allow the prosthesis to re-expand
  4. To reduce prolonged pressure and skin irritation Correct answer.

Explanation

Prolonged continuous pressure from a weighted form against the chest wall and skin can cause irritation, redness, or tissue discomfort. Removing the prosthesis at night allows the skin to rest and recover. This practice supports skin integrity over time.

Question 4Mastectomy Fitting Practice and Patient Care

A fitter notices a patient's bra band rides up in the back during arm movement. What is the most likely cause?

  1. Prosthesis is too light
  2. Band is too loose Correct answer.
  3. Strap length is too short
  4. Cup volume is too large

Explanation

A band that climbs up the back usually indicates insufficient tension around the ribcage, so the band cannot anchor the garment. The correct band should sit level and low across the back. Adjusting band size or tightness resolves the issue.

Question 5Mastectomy Fitting Practice and Patient Care

Which factor most strongly influences the weight of a breast prosthesis selected for a patient?

  1. The volume needed to match the remaining breast Correct answer.
  2. The patient's age
  3. The patient's height
  4. The color of the bra

Explanation

Prosthesis weight is closely tied to the volume required to balance the contralateral breast, since silicone weight scales with size. Matching volume and shape restores symmetry and reduces musculoskeletal strain. Height, age, and garment color do not determine form weight.

Question 6Mastectomy Fitting Practice and Patient Care

During a fitting, a patient reports shoulder discomfort on the side of surgery. Which adjustment should the fitter consider first?

  1. Switching to a lighter prosthesis
  2. Removing the underwire
  3. Increasing cup size
  4. Widening the straps and reducing strap tension Correct answer.

Explanation

Shoulder discomfort often stems from narrow straps concentrating pressure or from excessive strap tension. Wider, padded straps distribute load and reduce focal pressure on the shoulder. Adjusting strap width and tension addresses the mechanical cause directly.

Question 7Mastectomy Fitting Practice and Patient Care

Which instruction is most appropriate for a patient receiving a new silicone prosthesis for the first time?

  1. Store it in direct sunlight to keep it fresh
  2. Cleanse it with mild soap and water and dry thoroughly Correct answer.
  3. Wear it continuously for 24 hours to break it in
  4. Apply alcohol-based cleaner daily

Explanation

Silicone forms should be cleaned with mild soap and lukewarm water, then dried completely to prevent skin irritation and material degradation. Harsh solvents can damage the surface. Proper routine care extends product life and protects skin.

Question 8Mastectomy Fitting Practice and Patient Care

A patient with lymphedema in the arm on the surgical side is being fitted. Which precaution is most important?

  1. Select a heavier prosthesis to compress tissue
  2. Avoid any pressure or constriction on the affected arm Correct answer.
  3. Use a tighter band to compress the arm
  4. Fit straps tightly across the affected shoulder

Explanation

The arm at risk for or affected by lymphedema should not be constricted, as pressure can worsen swelling and impair lymphatic drainage. Garments should avoid tight straps or bands over that side. The fitter should coordinate with the care team when needed.

Question 9Mastectomy Fitting Practice and Patient Care

Which statement best describes the purpose of a bra pocket in a mastectomy bra?

  1. It holds and positions the prosthesis securely Correct answer.
  2. It replaces the need for a prosthesis
  3. It adds weight to the garment
  4. It compresses the chest wall

Explanation

A pocket is a fabric pouch built into the cup that cradles the prosthesis, keeping it in place and preventing migration during movement. It also separates the form from direct skin contact if desired. Pockets improve stability and comfort.

Question 10Mastectomy Fitting Practice and Patient Care

A patient's remaining breast sits lower than the prosthesis when standing. Which fitting strategy best restores symmetry?

  1. Choose a larger prosthesis
  2. Tighten the shoulder straps fully
  3. Switch to a smaller band size
  4. Use a prosthesis with a fuller lower profile or adjust its position Correct answer.

Explanation

Symmetry depends on matching the vertical position and lower fullness of the remaining breast. A form with more lower projection, or repositioning within the pocket, can align the two sides. Simply enlarging the form may create upper fullness without correcting the low point.

Question 11Mastectomy Fitting Practice and Patient Care

Which measurement pair is used to calculate cup size in mastectomy fitting?

  1. Underbust and full bust circumferences Correct answer.
  2. Arm length and chest depth
  3. Neck and waist circumferences
  4. Shoulder width and torso length

Explanation

Cup size is determined by the difference between the full bust circumference and the underbust circumference. This differential indicates breast volume relative to band size. The other measurements inform style but not cup calculation.

Question 12Mastectomy Fitting Practice and Patient Care

A fitter is choosing between a silicone and a lightweight foam prosthesis for a patient with limited upper-body strength. Which is the better rationale?

  1. Silicone is chosen because it is lighter
  2. Both weigh exactly the same
  3. Foam is chosen because it is heavier
  4. Foam reduces weight and is easier to manage Correct answer.

Explanation

Foam or lightweight forms reduce the load on the chest wall and shoulders, making them easier to don and wear for patients with limited strength. Silicone forms are typically heavier and more realistic in drape. Weight tolerance is a key selection factor.

Question 13Mastectomy Fitting Practice and Patient Care

Which practice best supports infection prevention when a patient has a healing mastectomy incision?

  1. Applying powder to the open area
  2. Keeping the incision clean and dry before prosthesis use Correct answer.
  3. Using a tight band over the incision
  4. Wearing the prosthesis against an open wound

Explanation

An open or healing incision should be kept clean and dry, and prosthesis wear is generally deferred until the surgical site is closed and cleared. Moisture and pressure can promote infection and delay healing. The fitter should follow the care team's guidance on timing.

Question 14Mastectomy Fitting Practice and Patient Care

A bilateral mastectomy patient is being fitted. Which consideration is unique compared with a unilateral fit?

  1. Only one side needs a pocket
  2. Band size is irrelevant
  3. Prostheses are never used
  4. Both sides require balanced volume and symmetry Correct answer.

Explanation

With bilateral surgery, both sides need prostheses, and symmetry must be achieved between two forms rather than against a natural breast. Balanced volume, shape, and position on both sides guide selection. This makes symmetry a bilateral pairing task.

Question 15Mastectomy Fitting Practice and Patient Care

Which term refers to a prosthesis shaped to be worn without a pocket, attaching directly to the bra with fasteners?

  1. Attachable form Correct answer.
  2. Weighted shell
  3. Contact form
  4. Partial shaper

Explanation

An attachable form uses tabs or fasteners to secure directly to the bra rather than sitting in a pocket. This can improve stability and prevent shifting. It differs from a contact form worn against bare skin.

Question 16Mastectomy Fitting Practice and Patient Care

A patient complains that the prosthesis shifts toward the center when she bends forward. Which adjustment is most appropriate?

  1. Use a pocketed bra or secure the form in place Correct answer.
  2. Switch to a heavier form
  3. Remove the prosthesis during activity
  4. Increase the band size

Explanation

Migration during forward bending suggests the form lacks containment. A bra with a pocket, or an attachable form, holds the prosthesis in position through movement. Increasing band size would worsen stability.

Question 17Mastectomy Fitting Practice and Patient Care

Which of the following best describes a partial breast form (shaper)?

  1. A full-volume form for total mastectomy
  2. A form designed to fill a localized area after lumpectomy Correct answer.
  3. A bra with no pockets
  4. A compression garment for lymphedema

Explanation

A partial shaper adds volume to a specific region to balance a lumpectomy defect rather than replacing an entire breast. It can restore contour under clothing while preserving the natural tissue. Full forms are used after total mastectomy.

Question 18Mastectomy Fitting Practice and Patient Care

A fitter is documenting a fitting session. Which information is most important to record for continuity of care?

  1. The brand of the fitting room chair
  2. Measured sizes and prosthesis specifications Correct answer.
  3. The patient's favorite color
  4. The weather that day

Explanation

Recording measurements, band and cup sizes, and prosthesis type and weight supports consistent refitting and communication with the care team. This documentation allows continuity if another fitter assists later. Non-clinical details are not relevant to care.

Question 19Mastectomy Fitting Practice and Patient Care

A patient reports skin maceration under the prosthesis after hot weather. Which recommendation is most appropriate?

  1. Wear the prosthesis tighter to seal out moisture
  2. Wear the prosthesis during swimming
  3. Apply an occlusive ointment before wear
  4. Remove and dry the area and prosthesis periodically Correct answer.

Explanation

Trapped moisture under a prosthesis can macerate skin, so periodic removal and thorough drying of both skin and form help prevent it. Breathable fabrics and a well-fitting pocket also reduce moisture buildup. Occlusive products can worsen trapping.

Question 20Mastectomy Fitting Practice and Patient Care

Which statement about underwire in a mastectomy bra is most accurate?

  1. Underwire may be uncomfortable near a sensitive or healing chest wall Correct answer.
  2. Underwire improves lymphatic drainage
  3. Underwire eliminates the need for a pocket
  4. Underwire is required for all fittings

Explanation

Underwire can press against sensitive or healing tissue along the chest wall and is often avoided in favor of soft cups. Comfort and skin integrity guide the choice. Underwire has no effect on lymphatic drainage or pocket function.

Question 21Mastectomy Fitting Practice and Patient Care

A patient with a very large remaining breast needs a prosthesis. Which approach best addresses balance and comfort?

  1. Choose the smallest available form
  2. Use no prosthesis
  3. Wear a sports bra only
  4. Match volume closely and consider a supportive bra with wide straps Correct answer.

Explanation

For a large remaining breast, matching prosthesis volume reduces spinal and shoulder strain from asymmetric weight, and a supportive bra with wide straps distributes load. Undersized forms leave imbalance. Support structure is as important as volume matching.

Question 22Mastectomy Fitting Practice and Patient Care

Which factor should guide the timing of a first prosthesis fitting after mastectomy?

  1. The patient's birthday
  2. The color of the bra
  3. Clearance from the surgical team and wound healing status Correct answer.
  4. The season of the year

Explanation

Fitting timing depends on surgical healing and clearance from the care team, since open incisions or ongoing treatment may contraindicate prosthesis wear. The fitter should confirm readiness before proceeding. Non-clinical factors do not determine timing.

Question 23Mastectomy Fitting Practice and Patient Care

A patient says the prosthesis feels cold when first put on. Which practical suggestion is most appropriate?

  1. Warm the form slightly before wear or use a fabric cover Correct answer.
  2. Store it in the freezer
  3. Increase prosthesis weight
  4. Apply ice to the chest

Explanation

Silicone can feel cool against the skin, and gently warming the form or using a fabric cover improves comfort. This is a comfort measure, not a clinical treatment. Freezing or icing would worsen discomfort.

Question 24Mastectomy Fitting Practice and Patient Care

Which measurement is used to help select strap length and placement for a mastectomy bra?

  1. Ankle circumference
  2. Hip circumference
  3. Distance from the band front over the shoulder to the band back Correct answer.
  4. Waist circumference

Explanation

Strap length and placement are guided by the distance over the shoulder from the front band to the back band. This measurement ensures straps sit without digging or slipping. Waist, hip, and ankle measurements do not inform strap fit.

Question 25Mastectomy Fitting Practice and Patient Care

A fitter is evaluating a patient whose prosthesis edge is visible under thin clothing. Which solution is most appropriate?

  1. Choose a form with tapered edges or a smoother profile Correct answer.
  2. Wear the prosthesis higher on the chest
  3. Remove the pocket
  4. Use a larger band size

Explanation

Visible edges often reflect a form whose perimeter is abrupt or thick. A prosthesis with tapered edges and a smooth transition blends better under clothing. Adjusting band size or pocket removal does not address edge visibility.

Question 26Mastectomy Fitting Practice and Patient Care

Which bra feature is specifically designed to hold a breast prosthesis securely in place?

  1. A racerback strap design
  2. A front-closure clasp
  3. A wide elastic underband
  4. A pocket or cup lining that encases the form Correct answer.

Explanation

A mastectomy bra typically includes a pocket or inner lining that holds the prosthesis against the chest wall, preventing it from shifting during movement. This pocket also keeps the form from directly contacting sensitive skin.

Question 27Mastectomy Fitting Practice and Patient Care

When should a patient typically be advised to schedule a first prosthesis fitting after a mastectomy?

  1. Before the surgical incision has fully closed
  2. After the surgical site has healed and any swelling has subsided Correct answer.
  3. As soon as the surgical drains are removed
  4. Immediately after discharge from the hospital

Explanation

A first fitting is usually delayed until the incision is healed and postoperative edema has resolved, which often takes several weeks. Fitting earlier can interfere with healing and result in an ill-fitting prosthesis.

Question 28Mastectomy Fitting Practice and Patient Care

Which measurement is essential for determining the correct band size of a mastectomy bra?

  1. The distance from the shoulder to the nipple line
  2. The fullest part of the remaining breast
  3. The width across the back from armhole to armhole
  4. The underbust circumference Correct answer.

Explanation

Band size is based on the underbust circumference, measured snugly around the rib cage just beneath the breasts. This measurement determines the size of the bra's band, which provides the foundation for support.

Question 29Mastectomy Fitting Practice and Patient Care

What is the primary purpose of a silicone prosthesis?

  1. To provide a natural weight and drape to restore symmetry Correct answer.
  2. To replace the need for a mastectomy bra
  3. To reduce lymphedema in the arm
  4. To correct posture permanently

Explanation

Silicone prostheses are designed to mimic the weight, movement, and feel of natural breast tissue, helping restore symmetry and body image. They are not intended to treat lymphedema or correct posture.

Question 30Mastectomy Fitting Practice and Patient Care

Which practice is most important for maintaining hygiene of a silicone prosthesis?

  1. Cleaning it with alcohol-based wipes
  2. Washing it daily with a mild soap and warm water Correct answer.
  3. Storing it in a plastic bag when not in use
  4. Placing it in a washing machine with gentle cycle

Explanation

Silicone prostheses should be washed regularly with mild soap and warm water to remove body oils and perspiration. Harsh chemicals or machine washing can damage the silicone, and airtight storage can trap moisture and promote microbial growth.

Question 31Mastectomy Fitting Practice and Patient Care

During a fitting, a patient mentions that the prosthesis feels heavy by the end of the day. What is the most appropriate initial response?

  1. Tell the patient to remove the prosthesis for the rest of the day
  2. Suggest tightening the bra straps to improve support
  3. Recommend a lighter-weight prosthesis or a different style Correct answer.
  4. Advise the patient to reduce fluid intake

Explanation

If a prosthesis feels heavy, a lighter-weight alternative, such as a foam or lightweight silicone form, may improve comfort. Adjusting straps or fluid intake does not address the weight of the prosthesis itself.

Question 32Mastectomy Fitting Practice and Patient Care

Which statement best describes the role of a mastectomy fitter?

  1. To diagnose breast cancer
  2. To prescribe chemotherapy regimens
  3. To perform surgery on breast cancer patients
  4. To provide emotional support and practical guidance on prosthesis care Correct answer.

Explanation

A mastectomy fitter offers emotional support, educates patients about prosthesis options and care, and ensures proper fit. Fitters do not perform surgery, prescribe medication, or diagnose cancer.

Question 33Mastectomy Fitting Practice and Patient Care

What is a common emotional concern of a patient after mastectomy that a fitter should address sensitively?

  1. Concern about the cost of groceries
  2. Anxiety about driving
  3. Fear of looking asymmetrical in clothing Correct answer.
  4. Worry about hair loss

Explanation

Many patients feel self-conscious about their appearance after mastectomy. A fitter can help restore confidence by providing a well-fitting prosthesis and offering reassurance.

Question 34Mastectomy Fitting Practice and Patient Care

A patient with a healing mastectomy incision is being fitted for a prosthesis. Which action is most appropriate?

  1. Fit the prosthesis tightly to prevent movement
  2. Use a prosthesis with a rough texture to stimulate healing
  3. Apply a tight bandage over the incision before fitting
  4. Ensure the prosthesis and bra do not put pressure on the incision Correct answer.

Explanation

During healing, the incision area is sensitive and vulnerable. The fitter should select a soft, non-irritating prosthesis and a bra that avoids pressure on the incision to prevent complications.

Question 35Mastectomy Fitting Practice and Patient Care

Which factor is most important to consider when selecting a prosthesis for a patient with a large remaining breast?

  1. Using a foam prosthesis to minimize cost
  2. Selecting the smallest available prosthesis to reduce weight
  3. Choosing a prosthesis that matches the weight and volume of the remaining breast Correct answer.
  4. Recommending a prosthesis that is slightly larger to fill out clothing

Explanation

For symmetry and comfort, the prosthesis should match the remaining breast in both volume and weight. A mismatched prosthesis can cause imbalance, shoulder strain, and poor appearance.

Question 36Mastectomy Fitting Practice and Patient Care

A patient reports that the prosthesis edge is visible under thin clothing. What is the best solution?

  1. Use a prosthesis with a thinner, tapered edge Correct answer.
  2. Trim the edge of the prosthesis with scissors
  3. Wear a larger bra size to cover the edge
  4. Apply adhesive tape over the edge

Explanation

A prosthesis with a tapered or thin edge blends more smoothly with the body and reduces visibility under clothing. Altering the prosthesis or using tape can damage it or cause skin irritation.

Question 37Mastectomy Fitting Practice and Patient Care

Which instruction should be given to a patient about caring for a silicone prosthesis in hot weather?

  1. Store it in the refrigerator to keep it cool
  2. Clean it more frequently to prevent sweat buildup Correct answer.
  3. Avoid wearing it during hot weather
  4. Apply powder directly to the prosthesis to reduce perspiration

Explanation

Hot weather increases perspiration, which can accumulate on the prosthesis and skin. More frequent cleaning helps prevent skin irritation and odor.

Question 38Mastectomy Fitting Practice and Patient Care

During a fitting, a patient with lymphedema in the arm on the surgical side needs a prosthesis. Which precaution is most important?

  1. Avoid tight straps or bands on the affected side Correct answer.
  2. Apply compression to the arm during fitting
  3. Use a heavy silicone prosthesis for support
  4. Recommend a prosthesis that attaches with adhesive

Explanation

Tight straps can worsen lymphedema by restricting lymphatic flow. The fitter should ensure the bra and prosthesis do not compress the affected arm or shoulder.

Question 39Mastectomy Fitting Practice and Patient Care

What is the purpose of a bra pocket in a mastectomy bra?

  1. To hold the prosthesis securely and prevent direct skin contact Correct answer.
  2. To enhance the appearance of the remaining breast
  3. To provide additional padding for the shoulders
  4. To allow the bra to be worn without straps

Explanation

A pocket encases the prosthesis, keeping it in place and creating a barrier between the prosthesis and sensitive skin. It also helps distribute weight evenly.

Question 40Mastectomy Fitting Practice and Patient Care

A patient with limited upper-body strength is choosing between a silicone and a lightweight foam prosthesis. Which factor is most important in the decision?

  1. The color of the prosthesis
  2. The brand reputation
  3. The cost of the prosthesis
  4. The weight of the prosthesis and ease of handling Correct answer.

Explanation

For patients with limited strength, a lightweight foam prosthesis may be easier to manage and less tiring to wear. Weight and handling are primary considerations.

Question 41Mastectomy Fitting Practice and Patient Care

A patient asks how long a silicone breast prosthesis typically lasts before replacement is needed. Which answer is most accurate?

  1. About six months of daily wear
  2. Indefinitely, since silicone does not degrade
  3. Several years with proper care and handling Correct answer.
  4. Roughly one to two years with daily wear

Explanation

With routine cleaning, correct storage, and normal daily wear, a quality silicone prosthesis usually serves a patient for several years before the material loses shape or the skin becomes worn. Fitters should teach care routines that extend useful life and advise reassessment when the prosthesis no longer matches the chest wall.

Question 42Mastectomy Fitting Practice and Patient Care

A fitter is documenting a fitting session. Which element is most essential to record for continuity of care?

  1. The prosthesis model, size, and lot number dispensed Correct answer.
  2. The patient's preferred clothing colors
  3. The name of the referring surgeon's nurse
  4. The retail price of the bra selected

Explanation

Accurate records of the specific prosthesis model, size, and lot or serial number allow future fittings, warranty claims, and replacement decisions to be made reliably. This documentation also supports insurance justification and traceability if a product issue arises.

Question 43Mastectomy Fitting Practice and Patient Care

A patient scheduled for a fitting arrives with an open, draining area along the mastectomy scar. What is the most appropriate fitter action?

  1. Proceed with the fitting but skip the measurement step
  2. Postpone fitting and advise the patient to contact her surgeon Correct answer.
  3. Apply a firm compression bra and continue the session
  4. Fit a weighted silicone prosthesis to protect the area

Explanation

An open or draining wound is outside the scope of prosthetic fitting and raises infection and healing concerns that require medical evaluation. The fitter should defer the fitting, protect the patient from harm, and refer back to the treating surgeon before resuming.

Question 44Mastectomy Fitting Practice and Patient Care

A patient has a pronounced hollow above the mastectomy scar and reports the top of the prosthesis collapsing inward. Which adjustment is most appropriate?

  1. Switch to a foam prosthesis with a flat back
  2. Tighten the shoulder straps to pull the prosthesis upward
  3. Choose a larger cup volume to fill the hollow
  4. Add a soft silicone insert or shape enhancer above the prosthesis Correct answer.

Explanation

A localized hollow at the upper chest is best managed by adding volume exactly where tissue is missing rather than increasing overall cup size. A partial insert or shape enhancer restores contour while keeping the base prosthesis correctly sized.

Question 45Mastectomy Fitting Practice and Patient Care

A patient with a full, soft chest wall and a moderate remaining breast asks about a prosthesis that will feel natural and move with her. Which characteristic matters most?

  1. A rigid, high-density form that holds a fixed shape
  2. A soft, pliable form that conforms to the chest wall Correct answer.
  3. A form with an extra-firm back and no flexibility
  4. A very lightweight hollow form that stays stiff

Explanation

Softness and pliability let a prosthesis conform to the chest wall and move more like natural tissue, which improves comfort and appearance for patients with a fuller or softer contralateral breast. Matching the consistency of the remaining breast is the guiding principle.

Question 46Mastectomy Fitting Practice and Patient Care

During a fitting, a patient mentions she is planning a long flight and worries about swelling in her surgical-side arm. Which guidance is most appropriate?

  1. Wear tighter bra bands and straps during travel
  2. Remove the prosthesis for the entire flight
  3. Avoid moving the arm entirely until landing
  4. Follow her lymphedema care plan and keep the bra comfortably fitted Correct answer.

Explanation

Patients with lymphedema risk should follow the plan established with their lymphedema therapist or clinician, and the bra should remain supportive without restricting circulation. Tight bands or straps can impair lymphatic drainage and should be avoided.

Question 47Mastectomy Fitting Practice and Patient Care

A patient says her prosthesis shifts toward the center when she bends forward, leaving a gap at the side. Which fitting adjustment is most appropriate?

  1. Replace the prosthesis with a smaller cup volume
  2. Add a pocketed bra or a positioning insert to anchor the form laterally Correct answer.
  3. Reduce the band size by two sizes
  4. Shorten both straps as far as they will go

Explanation

Lateral migration during forward bending usually reflects insufficient anchoring rather than wrong cup volume. A pocketed bra or positioning insert holds the form in the correct lateral position while preserving the proper band and cup fit.

Question 48Mastectomy Fitting Practice and Patient Care

A patient who had a mastectomy two years ago now reports that her prosthesis no longer sits flat and the bra band rides up in back. Which assessment step should the fitter take first?

  1. Recommend a larger prosthesis immediately
  2. Re-measure the band and chest wall to check for body or weight change Correct answer.
  3. Order a new set of straps without measuring
  4. Suggest she stop wearing the prosthesis

Explanation

A prosthesis that no longer sits flat and a band that rides up often signal a change in body shape or weight since the original fitting. Re-measuring the band and chest wall identifies whether the prosthesis, bra, or both need updating.

Question 49Mastectomy Fitting Practice and Patient Care

A fitter is teaching a patient with reduced hand dexterity and mild arthritis how to don her prosthesis independently. Which strategy is most appropriate?

  1. Advise her to wear the prosthesis only when someone can assist
  2. Recommend a heavier form so it stays in place without adjustment
  3. Suggest a pocketed bra and a form with a built-in tab or handle Correct answer.
  4. Instruct her to insert the form before fastening the bra in front

Explanation

A pocketed bra holds the form in place without repeated manual adjustment, and a tab or handle makes the prosthesis easier to grip and position. These adaptations support independence for patients with limited hand strength or dexterity.

Question 50Mastectomy Fitting Practice and Patient Care

A patient reports itching and a red rash confined to the area under the bra band and prosthesis, appearing only on warm days. Which initial fitter response is most appropriate?

  1. Suggest a breathable fabric bra and review cleaning and drying routines Correct answer.
  2. Advise applying a topical steroid cream before each wearing
  3. Switch to a much larger band size to eliminate all contact
  4. Recommend a stronger adhesive to hold the prosthesis

Explanation

Moisture and heat trapped under the band and prosthesis commonly cause irritation, so breathable fabrics and thorough cleaning and drying of both skin and device are appropriate first steps. Persistent or worsening rash should be referred to a clinician for evaluation.