A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?

Expect some breast dimpling or discharge with age.

Breasts can be examined in the shower with soapy hands.

For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.

Using the palm of the hand, feel for lumps using a circular motion.