A nurse is providing breast self-examination teaching to a client who is menopausal. Which of the following statements should the nurse identify as an indication that the teaching was effective? (Select all that apply.)

"It is important to press firmly when feeling my breasts to detect changes."

"Since I no longer have periods, I can perform an examination at any time of the month."

"I will make sure to feel for changes in my underarm area."

"I don't have to lie down to check my breasts. I can stand in the shower."

"If I feel a firm ridge in the lower curve of my breasts I should report this immediately."