AREA ASSESSED 1.

BREASTS AND AXILLARY: Size, symmetry, and contour or shape

TECHNIQUE USED

NORMAL FINDINGS

ACTUAL FINDINGS

ANALYSIS

inspection

females: rounded shape,; slightly unequal in size; generally symmetric. males: breasts even with the chest wall; if obese, may be similar in shape to female breasts. skin uniform(same in appearance as skin of abdomen or back); skin smooth and intact; diffuse symmetric horizontal or ventrical vascular pattern in light-skinned people; striae (stretch marks); moles and nevi. round or oval and bilaterally the same; color varies widely, from light pink to dark brown; irregular placement of sebaceous glands on the surface of the areola (montgomerys tubercles) round, everted, and equal in size; similar in color; soft and smooth; both nipples point in the same

the breast of the female client is larger than the other. They are both round and pendulous. They are generally symmetric.

normal

Localized discolorations or hyperpigmenta tion, retraction or dimpling, localized hypervascular areas, swelling or edema

inspection

color is the same with the color of the abdomen and back, skin is smooth and intact, no striae (stretch marks), moles and nevi are observed.

normal

Areola-size, shape, symmetry, color, surface characteristic, and any masses or lesions

inspection

the areolas are dark brown, and round. No masses and lesions are observed.

normal

nipples- size, shape, position, color, discharge, and lesions

inspection

Nipples are nearly bilaterally in size and are in the same location on each breast.

normal

direction (out in young women an dmen, downward in older women); no discharge, except from pregnant or breast-feeding women; inversion of one or both nipples that is present from puberty. palpation axillary, subclavicular, and supraclavicular lymph nodes palpation Breastmasses, tenderness and any discharge from the nipples. palpation Areola and the nipplesmasses. no tenderness, masses, or nodules

Nipples are everted, round in shape, the color is dark brown. There are no obvious discharge and lesions.

no palpable nodes, no tenderness and masses

normal

no tenderness, masses, nodules, or nipple discharge

no masses is palpated. No nipple discharged when assessing. there is no tenderness, masses and nodules. There is also no nipple discharge.

normal

no tenderness, masses, nodules, or nipple discharge (ref: Kozier and ERB, 2008, fundamentals of nursing, pp. 627630)

normal