The nurse is performing a breast examination. Which of these statements best describes the correct procedure to use when screening for nipple and skin retraction during a breast examination? Have the woman:

Question

a. Bend over and touch her toes.
b. Lie down on her left side and notice any retraction.
c. Shift from a supine position to a standing position, and note any lag or retraction.
d. Slowly lift her arms above her head, and note any retraction or lag in movement.

Answer 1

ANS: D
The woman should be directed to change position while checking the breasts for signs of skin retraction. Initially, she should be asked to lift her arms slowly over her head. Both breasts should move up symmetrically. Retraction signs are due to fibrosis in the breast tissue, usually caused by growing neoplasms. The nurse should notice whether movement of one breast is lagging.