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Which statement best describes the characteristics of Stage 4 of breast development?

  1. Small mound formation

  2. Elevation of the nipple only

  3. Projection of the areola

  4. Separation of breast contours

The correct answer is: Projection of the areola

Stage 4 of breast development is characterized by the projection of the areola, which involves a more pronounced development compared to earlier stages. In this stage, the breast continues to grow and evolve, with the areola becoming more prominent and elevated. This developmental change signifies that the breasts are preparing for their future functional role, particularly with respect to breastfeeding. The progression in breast development stages moves from initially small swellings to more distinct contours. While small mound formation is associated with earlier stages, and the elevation of the nipple can indicate some degree of development but not as pronounced as in Stage 4, the projection of the areola specifically highlights a crucial aspect of the breast's maturation process. Separating the breast contours is generally more characteristic of later stages, where the breasts appear more fully developed, and the distinction between the breast itself and the surrounding tissues becomes clearer. Overall, Stage 4's focus on the areola's projection marks a significant step in breast development.