NUR 216 exam 5
Stage 1 Tanner Breast
️ Prepuberty; elevation of the papilla (nipple).
**Stage 2 Tanner Breast**
️ "Breast bud stage"; elevation of breast and nipple with increased diameter of areola.
**Stage 3 Tanner Breast**
️ Areola deepens in color and enlarges; glandular ...
✔️ "Breast bud stage"; elevation of breast and nipple with increased diameter of areola.
**Stage 3 Tanner Breast**
✔️ Areola deepens in color and enlarges; glandular tissue begins to develop beneath the areola.
**Stage 4 Tanner Breast**
✔️ Areola and breast appear as a mound.
**Stage 5 Tanner Breast**
✔️ Mature stage; areola recesses to contour of breast; nipples project forward.
### Breast Development in Different Populations
- **Adolescent Girls**
✔️ May have asymmetrical breasts as they go through puberty.
- **Adolescent Boys**
✔️ May experience gynecomastia (enlarged breast tissue).
- **Breast in Pregnancy**
✔️ Breasts become fuller and firmer; areola and nipples darken; venous pattern increases; colostrum
appears in the third trimester until the baby is born.
, - **Breast in Older Adults**
✔️ Ducts become more fibrous; breasts lose elasticity (may appear saggy).
### Breast Self-Examination (BSE) Steps
1. **Visual Inspection**
- Have the client look in the mirror with hands on hips for abnormalities (e.g., dimpling, retractions)
when bending forward from the hips.
2. **Palpation**
- Have the client raise one hand above the head and use the opposite hand (3 middle finger pads) to
palpate around the areola, breast, tail of Spence, and axilla. Repeat for both breasts, also while lying on
each side.
3. **Nipple Check**
- Ask the client to lightly pinch the nipple and note any discharge.
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