Which interventions would the nurse include in teaching a young adult female about breast self-
examinations (BSE)? Select all that apply.
a. Perform BSE just before menstrual period
b. Provide the patient with a pamphlet about BSE
c. Encourage a return demonstration of BSE
d. Tell the patient to inspect breasts in the shower
e. Instruct patient to palpate in supine position - ✔✔b, c, e
Which change in the breast is seen in a patient who has reached menopause?
a. Deposition of extensive fat
b. Increase in breast nodularity
c. Atrophy of glandular tissue
d. Expansion of the ductal system - ✔✔c
Which part of the breast is called the tail of Spence?
a. The areola
b. The glandular tissue
c. The superior lateral corner
d. The suspensory ligament - ✔✔c
Which instructions would the nurse give the patient during a screening for retraction of the
breasts? Select all that apply.
, a. "Push the palms together"
b. "Put both hands on the hips"
c. "Rotate the hips to the opposite side"
d. "Lift both the arms slowly above the head"
e. "Lie down and raise an arm over the head" - ✔✔a, b, d
Which information would the nurse teach the patient about changes in the breast during
pregnancy? Select all that apply.
a. Changes in the breast begin in the fourth month
b. Breast milk is produced 1-3 days after delivery
c. Colostrum is rich in proteins, lactose, and fat
d. The breast surface develops a venous pattern
e. Colostrum may be expressed beginning in the fourth month of pregnancy - ✔✔b, d, e
Which is the proper method to examine large, pendulous breasts?
a. Standing still
b. Raising the hands
c. Resting in a supine position
d. Leaning forward while the nurse supports the forearms - ✔✔d
During a physical assessment, a teenager tells the nurse, "My left breast is smaller than the right
one, and it makes me feel self-conscious." Which response by the nurse is appropriate?
a. "This is a normal condition."