A Nurse Midwife Is Teaching a Female Client How to Perform

A nurse midwife is teaching a female client how to perform a breast self-examination. On return demonstration, which of the following actions by the client indicates that further teaching is necessary?

A) The client uses the tips of her second, third and fourth fingers to press every part of her breast.
B) Using the right hand to examine the left breast, the client examines the entire breast using small circular motions in a spiral pattern.
C) In a supine position, the client places a folded towel under her right shoulder and puts her right hand behind her head. Using the left hand, she palpates her right breast.
D) In a standing position, the client places her hands on her hips and presses down firmly.