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    Obstetricspediatrics proctored exam

    When examining the abdomen of a child, which technique would the nurse use last?

    Explanation & Rationale

    A. Auscultation: Listening to bowel sounds is performed before palpation or percussion to avoid stimulating or altering gut activity. This provides an accurate assessment of intestinal motility and frequency of bowel sounds. B. Percussion: Percussion helps assess organ size, fluid, or gas in the abdomen. It is performed after auscultation because tapping can change bowel sounds, potentially interfering with an accurate assessment. C. Palpation: Palpation is performed last to avoid disturbing the bowel or causing discomfort before auscultation and percussion. Gentle palpation assesses tenderness, masses, and organ size once other noninvasive techniques have been completed. D. Inspection: Inspection is performed first to evaluate contour, symmetry, skin condition, and visible movements. It does not interfere with subsequent assessment techniques.

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