Page 1317 - Saunders Comprehensive Review For NCLEX-RN

FIG. 44-2 Breast self-examination and client instructions. 1, While in the shower or bath,
when the skin is slippery with soap and water, examine your breasts. Use the pads of your
second, third, and fourth fingers to press every part of the breast firmly. Use your right
hand to examine your left breast, and use your left hand to examine your right breast.
Using the pads of the fingers on your left hand, examine the entire right breast using small
circular motions in a spiral or up-and-down motion so that the entire breast area is
examined. Repeat the procedure using your right hand to examine your left breast. Repeat
the pattern of palpation under the arm. Check for any lump, hard knot, or thickening of the
tissue. 2, Look at your breasts in a mirror. Stand with your arms at your side. 3, Raise your
arms overhead and check for any changes in the shape of your breasts, dimpling of the
skin, or any changes in the nipple. 4, Next, place your hands on your hips and press down
firmly, tightening the pectoral muscles. Observe for asymmetry or changes, keeping in
mind that your breasts probably do not match exactly. 5, While lying down, feel your

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