A woman is in the family planning clinic seeking birth control information. She states that her breasts "change all month long" and that she is worried that this is unusual. What is the nurse's best response? The nurse should tell her that:
a. Continual changes in her breasts are unusual. The breasts of nonpregnant women usually stay pretty much the same all month long.
b. Breast changes in response to stress are very common and that she should assess her life for stressful events.
c. Because of the changing hormones during the monthly menstrual cycle, cyclic breast changes are common.
d. Breast changes normally occur only during pregnancy and that a pregnancy test is needed at this time.
ANS: C
Breasts of the nonpregnant woman change with the ebb and flow of hormones during the monthly menstrual cycle. During the 3 to 4 days before menstruation, the breasts feel full, tight, heavy, and occasionally sore. The breast volume is smallest on days 4 to 7 of the menstrual cycle.
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