The nurse is measuring an abdominal girth on a child with abdominal distension. Identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth
1. Just above the umbilicus, around the largest circumference of the abdomen
2. Below the umbilicus
3. Just below the sternum
4. Just above the pubic bone
1
Rationale:
1. An abdominal girth should be taken around the largest circumference of the abdomen—in this case, just above the umbilicus.
2. The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.
3. The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.
4. The circumference below the umbilicus, just below the sternum, or above the pubic bone would not be an accurate abdominal girth.
Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
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