Which of the following reflect abnormal findings during the inspection phase of breast examination? The nurse is performing a breast examination.
A. A woman whose left breast is slightly larger than her right B. A woman whose skin is marked with linear striae C. A pregnant woman whose breasts have a fine blue network of veins visible under the skin D. A woman whose nipples are pointing in different directions
A woman whose nipples are pointing in different directions-nipples should point in the same direction outward and slightly upward. a change in the direction of point of the nipple is suggestive of an abnormality. it is normal for a woman to have one breast slightly larger than the other unless this is a recent change. the presence of striae (stretch marks) is also considered within normal limits. a bilateral, fine, visible network of veins is considered a normal finding.
nursing process step: assessment
cognitive level: application
client need: physiological integrity