Which of the following is the most appropriate position for a breast examination?
Step 1: Examine Your Breasts in a Mirror With Hands on Hips Show
Step 2: Raise Arms and Examine Your BreastsStep 3: Look for Signs of Breast FluidStep 4: Feel for Breast Lumps While Lying DownStep 5: Feel Your Breasts for Lumps While Standing or SittingThe clinician should use the flats of the finger pads, not the tips, for enhanced sensitivity and should remain cognizant of the patient’s nipple and avoid incidental contact with his or her hand. The examiner is responsible for evaluating all tissue between the skin and the chest wall. Although it is possible to repeat the palpation pattern using different degrees of pressure (and therefore depth of tissue being assessed), a more efficient approach is to spiral in each position from superficial to deep, paying attention to the tissue at each level. Palpation is begun at the medial portion of the chest wall below the clavicle and progresses down and up in a “vertical strips” pattern. The examiner should slide from palpation position to position rather than lifting his or her hand. Palpation is repeated on the opposite breast. In this position, it is difficult to have confidence in the examination of the underside of the breast in full-breasted patients. vertical strips and spokes of the wheel Breast exam 2 Next, the patient is asked to lie flat with the arm of the breast being examined behind the patient's head. This stretches out the breast tissue against the chest wall and is particularly helpful in examining the lower quadrants. The breast is palpated following a “spokes of the wheel” pattern. The areola and subareolar breast tissue in is included in the palpation pattern. Attempting to “milk” the breast is unnecessary unless the patient has described a discharge. Supine position, also known as Dorsal Decubitus, is the most frequently used position for procedures. Which examination position is used in emergencies for instance for a patient with severe hypotension or who is in shock?Patient sits at the side of the bed with head resting on an over-bed table on top of several pillows. This position is used for patients with breathing difficulties. Place the head of the bed lower than the feet. This position is used in situations such as hypotension and medical emergencies. Which of the following position is most appropriate for a patient having a breast examination?The breasts are best examined while lying down because it spreads the breast tissue evenly over the chest. Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder. This position flattens the breast and makes it easier to check. What are the different position used for physical examination?In this guide for patient positioning, learn about the common bed positions such as Fowlers, dorsal recumbent, supine, prone, lateral, lithotomy, Sims, Trendelenburgs, and other surgical positions commonly used. Which exam position is used for gynecologic exams?The use of a gynecological examination table with stirrups (the lithotomy position) can be used with older children and adolescents to ensure adequate abduction of the legs and optimal visualization of the genitalia. What is the horizontal recumbent position used for?Prone position refers to a horizontal position with the face and upper body facing down. In the prone position, the dorsal side is up and the ventral side is down. A number of surgical procedures use the prone position. It is most commonly used for surgeries requiring access to the spine Which exam method allows the physician to determine the location size and density of organs?Percussion is a method of tapping body parts with fingers, hands, or small instruments as part of a physical examination. It is done to determine: The size, consistency, and borders of body organs. What are six methods of examining a patient during a general physical exam?Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. Which examination position is used in emergencies for patients with severe hypertension?Hypertensive Emergencies BP should be measured in both the supine position and the standing position (assess volume depletion). Which of the following positions is most appropriate when the physician needs to check heart and lung sounds?The optimal position for chest auscultation is sitting in a chair, or on the side of the bed. However, the patients clinical condition and comfort needs to be considered during the examination and some patients may only tolerate lying at a 45xb0 angle. Which examination position requires the medical assistant to raise the head of the bed to a 30 to 45 degree angle?The Semi-Fowlers position is a position in which a patient, typically in a hospital or nursing home in positioned on their back with the head and trunk raised to between 15 and 45 degrees, although 30 degrees is the most frequently used bed angle. Which of the following positions is most appropriate for a patient having a breast examination group of answer choices?The breasts are best examined while lying down because it spreads the breast tissue evenly over the chest. Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder. This position flattens the breast and makes it easier to check. Which of the following is the most appropriate position for the patient to be in to wait for general physical examination?Which of the following is the most appropriate position to be in to wait for a general physical examination? In a sitting position at the end of the exam table. Which of the following is the most appropriate position for examination of a patient with dyspnea?With numerous applications, Fowlers position is used for patients who have difficulty breathing because, in this position, gravity pulls the diaphragm downward allowing greater chest and lung expansion. When preparing the patient for a vaginal examination you would position them in the position?Knee-Chest Position. Used for rectal and vaginal examinations and as treatment to bring uterus into normal position. Patient is on knees with chest resting on bed and elbows resting on bed or arms above head. Head is turned to one side. Which of the following positions is most appropriate for examining a patient who is in respiratory distress?Prone positioning is generally used for patients who require a ventilator (breathing machine). Prone positioning may be beneficial for several reasons: (1) In the supine position, the lungs are compressed by the heart and abdominal organs. What are the position used for physical examination?Supine position is used for general examination or physical assessment. What are the different body positions?The four main anatomical positions are: supine, prone, right lateral recumbent, and left lateral recumbent. Each position is used in different medical circumstances. What are the 4 types of physical examination?WHEN YOU PERFORM a physical assessment, youll use four techniques: inspection, palpation, percussion, and auscultation. What are the six methods used in physical examination?The components of a physical exam include:
Which examination position is used for obstetric examinations?Lithotomy position is one of the most commonly used in obstetrics and gynaecology. It is used in childbirth, instrumental delivery, perineal, vaginal and urological surgery. Lithotomy position is defined as supine position of the body with the legs separated, flexed and supported in raised stirrups. How do you perform a gynecological exam?Your doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths. Which of the following positions is the most appropriate for a patient having a breast examination?The breasts are best examined while lying down because it spreads the breast tissue evenly over the chest. Lie flat on your back, with one arm over your head and a pillow or folded towel under the shoulder. This position flattens the breast and makes it easier to check. What position is used for physical examination?Supine position is used for general examination or physical assessment. What is the purpose of dorsal recumbent position?The purpose of the dorsal recumbent position is to allow for examination of the head, neck, anterior thorax, lungs, breasts, axillae and heart. What is the best position of the client when palpating the breasts?Patient should be lying flat on the table - It may help to have them place hand on side to be examined behind their head, allowing easier access to breast and axilla. Uncover only the breast that you are going to examine.
What should be the position of arms of the patient during inspection of the breast?The arms should be elevated during palpation to distribute the breast tissue over the chest wall. The examiner should not rely entirely on the findings when the patient is in the erect position.
What is the proper position in assessing the breast and axillae?When performing a breast examination for the purpose of cancer screening, it is appropriate to include an evaluation of the supraclavicular and axillary nodal groups. Examination of the axilla is best performed with the patient sitting upright. The patient is asked to raise her arm.
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