Question

A client at 40 weeks' gestation visits the prenatal clinic. The nurse, knowing that this may be the client's last prenatal visit, performs a breast examination. What adaptation does the nurse identify that requires further assessment?

A. Darkening of the nipple areolae
B. Nodularity in an outer quadrant
C. Clear fluid leaking from a nipple
D. Prominence of the superficial veins

Answer 1

The adaptation in a prenatal breast examination that requires further assessment is B. Nodularity in an outer quadrant. Darkening of the areolae and prominence of veins are normal changes during pregnancy, while nodularity could indicate a potential abnormality.

Step-by-step explanation:

During a prenatal visit at 40 weeks' gestation, a nurse performs a breast examination which is a common practice to assess for any signs that may require further attention. Among the adaptations listed, B. Nodularity in an outer quadrant may indicate a condition that needs further assessment. It is normal during pregnancy for the nipple areolae to darken due to hormonal changes and increased melanocyte-stimulating hormone. Superficial veins may become more prominent due to the increased blood supply needed during pregnancy. Clear fluid leaking, which might be colostrum, is also common and can occur as the body prepares for breastfeeding. However, nodularity may suggest an abnormality that warrants further evaluation by a healthcare professional.