Question

Which is a correct guideline for performance of self breast exams (SBE) in a 22year-old female client? A. Perform the SBE monthly one week after the menstrual cycle. B. SBE should be done two weeks after the menstrual cycle. C. Perform the SBE on the same day of the month. It doesn't matter which day. D. The breast exam should be performed when the breasts are tender and/or swollen.

Short answer

A. Perform the SBE monthly one week after the menstrual cycle. The breast tissue is less likely to be tender or swollen post menses, making it easier to detect any abnormalities. Hence, Option A is the correct guideline.

Step-by-step solution

Evaluate Option A

Perform the SBE monthly one week after the menstrual cycle. This guideline suggests that SBE should be done consistently on a monthly basis once the menstrual cycle is over. This approach is suitable for the female clients as their breast tissue is less likely to be tender or swollen post menses, making it easier to detect any abnormalities. Hence, Option A is a correct guideline.

Evaluate Option B

SBE should be done two weeks after the menstrual cycle. This guideline suggests that SBE should be done consistently at a fixed time post menses. While performing SBE two weeks after the menstrual cycle can be effective for some women, it might not be the most suitable time for the others. In general, SBE should be done within a week after the menstrual cycle. So, Option B is not the correct guideline.

Evaluate Option C

Perform the SBE on the same day of the month. It doesn't matter which day. This guideline suggests that the timing of the menstrual cycle should not be considered for performing SBE. However, experts recommend that SBE should be done on a specific day after the menstrual cycle when the breasts are less likely to be tender or swollen. Hence, Option C is not the correct guideline.

Evaluate Option D

The breast exam should be performed when the breasts are tender and/or swollen. Performing SBE when the breasts are tender and/or swollen can make it difficult to detect abnormalities since the breast tissue can change during this time. Therefore, it is recommended to perform SBE at a time when the breasts are less likely to be tender or swollen, usually after the menstrual cycle. So, Option D is not the correct guideline. Based on the analysis of each option, the correct answer is: A. Perform the SBE monthly one week after the menstrual cycle.