A 30-year-old woman performs breast self-examinations monthly. Which of the following findings reported to the nurse is cause for concern and will require further diagnostic studies ordered by the physician?
A) Areolae that are bilaterally darkened in color
B) Freely movable masses that become tender before the menstrual period
C) Multiple tender, round masses in both breasts
D) A hard, nontender mass in the upper outer quadrant of the left breast
Ans: D
Feedback: Hard, nontender masses are associated with cancerous tumors. The upper outer quadrant is the most common site. Darkened areolae are associated with hormonal changes, such as those caused by pregnancy. Multiple tender, round masses in both breasts that become tender before a menstrual period indicate fibrocystic breast problems.
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