A nurse is providing a patient with instructions regarding breast self-examination (BSE). Which of the following statements by the patient would indicate the likelihood that she understands how to detect changes such as lumps in her breast?
1. "I should perform BSE one week prior to the start of my period."
2. "When I reach menopause, I will perform BSE every two months."
3. "Knowing the texture and feel of my breasts is important."
4. "I should inspect my breasts in a circular manner."
5. "I should inspect my breasts while in a supine position, with my arms at my sides."
Correct Answer: 3,4
Rationale 1: BSE should be performed one week after the start of each menstrual period because hormonal levels are lowest and allow closer exam of softer breast tissue.
Rationale 2: BSE should be performed monthly, on the same day each month, during menopause.
Rationale 3: A woman who knows the texture and feel of her own breasts is far more likely to detect changes that develop.
Rationale 4: Checking breasts in a circular manner, feeling all parts of the breast, provides adequate palpation and possible detection of lumps.
Rationale 5: The breasts should be inspected while standing with arms at sides.
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