# A client asks how to notice possible breast changes between routine screening visits. Which teaching is best?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394127&lang=en  
> language: en  
> subject: Health Promotion/Disease Prevention  
> category: HPM

## Question

A client asks how to notice possible breast changes between routine screening visits. Which teaching is best?

## Option

1. Ignore changes unless there is severe pain.
2. Only check for lumps once every 5 years.
3. Use tight clothing to prevent breast tissue changes.
4. Report a new lump, nipple discharge, skin dimpling, or persistent change. **✔ Correct answer**

**Correct answer: 4**

## Explanation

Clients should be aware of their usual breast appearance and report persistent or new changes such as a lump, nipple discharge, dimpling, or skin change. Waiting for severe pain can delay evaluation. Screening schedules do not replace reporting new symptoms.

## In-depth explanation

Clinical Judgment
Health promotion includes knowing what changes need evaluation.

Memory Tip
New lump, discharge, dimpling: report.

## Clinical scenario

Clinical Practice Guide
Breast health teaching includes routine screening according to age and risk plus prompt evaluation of new symptoms.

Caution
Most changes are not cancer, but persistent changes should be assessed.

## Key concepts

- **Breast Awareness** — Knowing usual breast appearance and feel to notice changes.
- **Nipple Discharge** — Fluid from the nipple that may require evaluation depending on pattern and context.
- **Skin Dimpling** — Indentation or puckering of breast skin that should be assessed.

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