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Obstetric and Gynecological Nursing - The Carter Center

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Inspection in the Shower<br />

- It is easier to examine breast when h<strong>and</strong>s are soapy.<br />

- With your right h<strong>and</strong> behind your head, examine your right<br />

breast with your left h<strong>and</strong> using a grid or circular motion<br />

reverse the procedure to examine the other breast.<br />

Inspection in a mirror<br />

St<strong>and</strong> in front of a mirror for further inspection<br />

A. With arms at sides looks for<br />

• Changes in size <strong>and</strong> shape of breasts<br />

• Changes in skin dimpling, puckering, scaling,<br />

redness, swelling<br />

• Changes in nipple inversion, scaling, discharge from<br />

nipples pointing in different directions.<br />

B. Holding arms over the head, inspect closely in the mirror<br />

for masses, breast symmetry, puckering.<br />

C. Press h<strong>and</strong>s firmly on hips, below slightly forward. Inspect<br />

in mirror for lumps or pulling of the skin.<br />

D. Each breast should be a mirror image of the other. If you<br />

think you detect a lump in breast, check the other side to<br />

see if it feels the same. If so this is undoubtedly normal<br />

tissue. Examine using the circular or grid motion as in the<br />

shower.<br />

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