Asked by Amanda Fraysure on Apr 29, 2024

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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?

A) Have the patient bend over and touch her toes.
B) Have the patient lie down on her left side and observe for any retraction.
C) Have the patient shift from a supine position to a standing position, and note any lag or retraction.
D) Have the patient slowly lift her arms above her head, and note any retraction or lag in movement.

Nipple Retraction

A condition where the nipple begins to turn inward or becomes inverted, which can be a normal variation or a sign of breast disease.

Skin Retraction

A phenomenon where the skin appears to draw back or tighten, often indicative of an underlying medical condition or tissue change.

  • Understand the distinguishing features and signs of benign and malignant breast ailments.
  • Effectively convey information regarding breast health, highlighting the significance of conducting self-exams and undergoing professional medical screenings.
  • Identify the distinctions between normal breast variations and critical observations that call for further exploration.
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Fallequinox ProductionMay 03, 2024
Final Answer :
D
Explanation :
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.