Arrange the steps of how the nurse does an abdominal assessment on an infant in the correct order.
Explanation & Rationale
A. Inspection of the contour of the abdomen: The nurse begins with visual inspection to assess symmetry, distention, color, and visible peristalsis. This noninvasive first step avoids disturbing the infant, which could alter bowel sounds or muscle tone. B. Auscultation of bowel sounds: Listening with a stethoscope before palpation prevents altering bowel activity. Bowel sounds are assessed in all four quadrants for frequency, pitch, and character, providing information about gastrointestinal function. D. Palpation of abdominal organs: Gentle palpation follows auscultation to assess tenderness, organ size, and any masses. Palpation after auscultation prevents stimulating bowel activity that could change sound characteristics. C. Documentation of observations: After completing inspection, auscultation, and palpation, the nurse records all findings accurately. Proper documentation ensures continuity of care and provides a baseline for future assessments.