ASHIRVAD NURSING AND PARAMEDICAL INSTITUTE

GNM-3rd YEAR

OBSTETRICAL AND GYNAECOLOGICAL NURSING

OBJECTIVE STRUSTUREED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION ( ):- PROCEDURE – BREAST EXAMINATION

INSTRUCTION TO EXAMINER

Objectives:

This station is designed to test the candidate’s ability to

 Assess the safety of the mannequin.

 Position of the mannequin (clint).
 Identify indication for breast examination
 Explain nursing consideration before, during, and after breast examination.
 Demonstrate appropriate technique of breast examination.

Observation: Performing physical assessment of the breast.

Score:

Score the task based on the following

 Score “1” for each point identified and explained correctly

 Score “0” if equipment is identified correctly or purpose is not specified correctly
 Calculate the total score
Steps Task Score Roll Number
1. Welcome the woman (mannequin) introduce yourself.
2. Positions the mannequin. Drape and keep the doors and curtain closed.

3. Wash your hands.

4. Inspection:
On the supine position: Ask the client (mannequin) to assume the supine
position and put her right arm over her head and inspect the right breast
(Reverse this step for the left breast).
5. Palpation: examine the right breast on the supine position
 Put right hand behind head. Use pads of fingers of left hand, held
flat, together, gently press on the breast tissue using small
circular motion, imagine the breast as a face of a clock.
Beginnings at the top (12 O’ clock position) make a circle
around the outer area of the breast.
 Move in one finger width, continue in smaller and smaller
circles until you have reached the nipple (cover all areas
including the breast tissues leading to the axilla).
Reverse the procedure to the left breast
6. Underarm Examination:
 Examine the left under arm area with arm held loosely at side.
Cup the finger of the opposite hand and insert them high into the
underarm area. Draw finger down slowly, pressing in circular
pattern, covering all areas.
 Reverse the procedure for the right underarm
7. Nipple Examination:
 Gently squeeze the nipple of each breast between the thumb and
index finger to check for discharge.

8. Assist the woman to get down from examination table and redress her
clothes, then wash hands.
9. Report abnormality.

10 Replace articles and wash hand then record procedure

Total

Name and Signature of examiner: