Family Nurse Practitioner Exam

During a breast exam of a 30-year-old woman, slight tenderness is noted in mobile areas of breast tissue. What should be recommended?

1. Referral to a gynecologist

2. Return 1 week after her period

3. Return in 6 months for recheck

4. Schedule for a mammogram

The correct answer is: Return 1 week after her period

The recommendation to return one week after her period is based on the understanding of physiological changes in breast tissue that occur throughout the menstrual cycle. Many women experience tenderness or lumpiness in their breasts due to hormonal fluctuations, particularly in the premenstrual phase. By scheduling a follow-up appointment one week post-menstruation, the healthcare provider can better assess any changes in breast tissue tenderness or characteristics, as this timing often coincides with the phase when breast tissue is less engorged and more likely to present a baseline condition for evaluation. This approach is practical and aligned with standard practice for evaluating cyclical changes in breast tissue related to the menstrual cycle. It ensures that any abnormalities or persistent issues can be identified without unnecessary interventions or anxiety for the patient.