What procedure is most appropriate for assessment of an abdominal circumference related to a bowel obstruction?
a. Measuring the abdomen after feedings
b. Marking the point of measurement with a pen
c. Measuring the circumference at the symphysis pubis
d. Using a new tape measure with each assessment to ensure accuracy
ANS: B
Pen marks on either side of the tape measure allow the nurse to measure the same spot on the child's abdomen at each assessment. The child most likely will be kept NPO (nothing by mouth) if a bowel obstruction is present. If the child is being fed, the assessment should be done before feedings. The symphysis pubis is too low. Usually the largest part of the abdomen is at the umbilicus. Leaving the tape measure in place reduces the trauma to the child.
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