A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the nurse is appropriate regarding breast self-examinations?

A. "Perform breast self-examinations while lying on your side.": Lying on the side does not provide the best positioning for thorough breast assessment. The recommended positions are standing in front of a mirror or lying flat with one arm raised, which helps spread breast tissue evenly. B. "Use small, circular motions, working vertically up and down across the breast.": Using small circular motions with the pads of the fingers and moving in a vertical ‘lawn-mower’ pattern ensures systematic coverage of all breast tissue. This method improves detection of subtle lumps or thickened areas. C. "Use the palm of your hand to detect the presence of any large masses under the skin.": The palm is too broad and insensitive for detecting small or early changes. The finger pads provide better tactile sensitivity, allowing the client to identify small nodules or irregularities. D. "Perform breast self-examinations during the middle of your cycle.": For premenopausal clients, the best time is 5–7 days after menstruation begins, when breasts are least tender and swollen. Mid-cycle examinations may be uncomfortable and less accurate due to hormonal changes.