AIIMS Delhi NO-2016
Fundamental of Nursing
Easy
In BSE, the position used is:
Appeared in: AIIMS Delhi NO-2016
Explanation
- Placing one hand under or behind the head is a crucial step during the palpation phase of a Breast Self-Examination (BSE).
- This position is used when lying down (supine) to examine the breast.
- The purpose of this arm position is to flatten the breast tissue, spreading it evenly over the chest wall.
- Flattening the tissue makes it thinner and allows for a more thorough and effective palpation to detect any lumps or abnormalities.
Why Other Options Were Wrong
- Option B: Placing a hand close to the midline of the body does not facilitate the spreading of breast tissue, which is essential for a thorough examination.
- Option C: A sitting position with the arm on the lap is a resting posture and is not used for either the inspection or palpation phases of BSE. For inspection, arms are typically raised or placed on the hips.
- Option D: Although the supine (lying down) position is correct for palpation, placing the arm on the chest would cover the breast area, making a proper examination impossible.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Procedure and correct positioning for Breast Self-Examination (BSE) as background academic context rather than a clinical decision trigger.
- Teaching patients the correct BSE technique is a vital nursing responsibility for promoting early detection of breast cancer.
- Nurses should emphasize that BSE is a tool for breast awareness and should be done monthly, ideally a week after menstruation when breasts are less tender.
- It's crucial to inform patients that any new lump, change in skin texture (dimpling, puckering), nipple discharge, or change in breast size or shape should be reported to a healthcare provider immediately.
How to Approach the Question
- First, identify the core topic of the question, which is the correct position for Breast Self-Examination (BSE).
- Recall the standard procedure for BSE, which includes two main parts: visual inspection and manual palpation.
- Think about the positions required for each part. Inspection is done standing, while palpation is done both standing (often in the shower) and lying down (supine).
- Evaluate each option against the correct procedure. Option A, 'One hand under the head,' describes the correct arm position for the palpation phase when lying down.
- Analyze the other options. Option B is an incorrect arm position. Option C is an incorrect body position. Option D has the correct body position (supine) but an incorrect arm position (on the chest) that would obstruct the exam.
- Conclude that placing one hand under the head is the most accurate and essential positioning element described among the choices for an effective BSE.
Concept Tested & Keywords
- Concept Tested: Procedure and correct positioning for Breast Self-Examination (BSE).
- Stem keywords: BSE, position
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
QgnbdQ6ciyWf3TNtBbje53
Reference Book
E6 Pathology-Vandana Puri & Kavita Gaur Textbook of Pathology and Genetics p. 607-609
E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 104-106
Practise the full AIIMS Delhi NO-2016
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Physical assessment Questions
- Cyanosis in a child can be seen in all the places mentioned below except?
- What is the most appropriate choice among the following to which a nurse pays attention when conducting a general survey on an adult client?
- Which of the following is NOT a feature of a healthy mouth?
- Resonance is best described as?
- Twitching of facial muscles when the facial nerve is tapped anterior to the earlobe is called?
- When performing an abdominal assessment, in which order are the given steps followed?
- In deep palpation method, the depth of skin depressed is approximately:
- Never palpate both carotid pulses at the same time because?
- In a trauma emergency, a nurse has received a patient. To feel the skin temperature of her patient, the nurse uses?
- Which instrument is used for auscultation?
More AIIMS Delhi NO-2016 Questions
- An alcohol patient blames his family members for his behaviour. This is known as:
- A patient with O+ blood is waiting for a transfusion. In the blood bank, the following blood groups are available. Which is the most appropriate one…
- Maximum infectivity of chickenpox is during:
- Decreased bone density is called:
- Triage means:
- Maximum infectivity of mumps is during:
- The 'Beti Bachao, Beti Padhao' program started in which state of India?
- A restrained patient said to the nurse that his behaviour is under control and now you can remove the restraints. What is the most appropriate nursin…
- Accumulation of bile salt causes:
- What is the normal prothrombin time?