OUR LADY OF FATIMA UNIVERSITY

COLLEGE OF NURSING – VALENZUELA

PROGRAM Bachelor of Science in Nursing Student Name

NCMA111 Year and Section
COURSE Health Assessment Instructor
SKILLS LABORATORY Date

PROCEDURE : Assessing the Abdomen

EXPECTED OUTCOME : The student should be able to perform assessing the abdomen
ASESSMENT TASK : Return demonstration

Exceptional Good Average Poor

Assessment Dimension SCORE
(3) (2) (1) (0)
1. Prepare equipment: Gathered materials Gathered materials Gathered materials Failed to gather all
examining light tape needed with little time with more time the materials
measure, water-soluble preparation preparation needed
skin-marking pencil and
stethoscope
2. Wash hands Observed principles Hand washing was Hand washing was
Hand washing was
of medical hand done with minimal done with maximal
not done
washing error error
3. Greet and identify Greeted and Performed the two Performed the one Failed to identify the
client. . identified client by (2) ways of (1) way of identifying client
asking his/her name identifying the client the client
and checking his or
her ID band politely
4. Explain the procedure Explained procedure Explained the Explained the Failed to explain
and its purpose to procedure but lack procedure but in an procedure and its
the client clearly and some details. unclear manner. purpose.
completely with
client’s consent
5. Provide client’s privacy Provided privacy Provided privacy but Provided privacy but
Failed to provide
during the entire not in the entire was observed only at
privacy
procedure procedure times
6. Inquire client’s history Performed the Performed the Performed the Failed to perform
of bowel habits, change in procedures with procedures with procedures with the procedure
appetite, specific ease minimal supervision maximum
abdominal signs and supervision
symptoms, hematemesis,
previous and current
problems and treatment
7. Position client in a Performed the Performed the Performed the Failed to perform
supine position with the procedures with procedures with procedures with the procedure
arms placed comfortably ease minimal supervision maximum
at the sides. Place small supervision
pillows beneath the knees
and the head to reduce
tension in the abdominal
muscle. Expose only the
client’s abdomen from
chest line to the pubic
area
8. Observe for contour Performed the Performed the Performed the Failed to perform
and symmetry. If procedures with procedures with procedures with the procedure
distention is present, ease minimal supervision maximum
measure the abdominal supervision
girth with a tape measure
9. Observe abdominal Performed the Performed the Performed the Failed to perform
movements associated procedures with procedures with procedures with the procedure
with respiration, ease minimal supervision maximum
peristalsis or aortic supervision
pulsation
10. Observe for scars, Performed the Performed the Performed the Failed to perform
striae, rashes, and lesions procedures with procedures with procedures with the procedure
ease minimal supervision maximum
supervision
11. Auscultate the Performed the Performed the Performed the Failed to perform
abdomen before procedures with procedures with procedures with the procedure
percussing and palpating ease minimal supervision maximum
to avoid stimulating supervision
intestinal activity and
altering bowel sounds
12. In all quadrants, listen Performed the Performed the Performed the Failed to perform
for active bowel-sounds - procedures with procedures with procedures with the procedure
irregular gurgling noises ease minimal supervision maximum
occurring about every 5- supervision
10 seconds. Note:
frequency, pitch and
duration of sounds
13. Auscultate for bruits Performed the Performed the Performed the Failed to perform
over the abdominal aorta procedures with procedures with procedures with the procedure
and the renal, iliac, and ease minimal supervision maximum
femoral arteries. supervision
14. Percuss all quadrants. Performed the Performed the Performed the Failed to perform
Note areas of tympany or procedures with procedures with procedures with the procedure
dullness. Use a systematic ease minimal supervision maximum
pattern. Begin in the supervision
lower left quadrant,
proceed to the lower right
quadrant, the upper right
quadrant and the upper
left quadrant
15. Percuss liver size Performed the Performed the Performed the Failed to perform
starting in the right procedures with procedures with procedures with the procedure
midclavicular line below ease minimal supervision maximum
the level of the umbilicus supervision
and moving upward and
downward to locate the
liver border
16. Strike at the Performed the Performed the Performed the Failed to perform
costovertebral angles, procedures with procedures with procedures with the procedure
noting tenderness or pain ease minimal supervision maximum
supervision
17. Palpate the abdomen Performed the Performed the Performed the Failed to perform
lightly in all quadrant and procedures with procedures with procedures with the procedure
follow with deep ease minimal supervision maximum
palpation. Assess organ supervision
location and abdominal
muscle tone. Note
unusual masses,
pulsations, tenderness or
pain
18. Palpate kidneys Performed the Performed the Performed the Failed to perform
bimanually slightly below procedures with procedures with procedures with the procedure
the umbilicus. Note size, ease minimal supervision maximum
shape and tenderness. supervision

19. Palpate abdominal Performed the Performed the Performed the Failed to perform
aorta for contour and procedures with procedures with procedures with the procedure
pulsations ease minimal supervision maximum
supervision
20. Palpate for inguinal Performed the Performed the Performed the Failed to perform
and femoral lymph nodes procedures with procedures with procedures with the procedure
bilaterally. Note for ease minimal supervision maximum
enlargement supervision
21. Position client Performed the Performed the Performed the Failed to perform
comfortably in bed after procedures with procedures with procedures with the procedure
assessment ease minimal supervision maximum
supervision
22. Inform client findings Performed the Performed the Performed the Failed to perform
as necessary procedures with procedures with procedures with the procedure
ease minimal supervision maximum
supervision
23. Wash hands and Washed hands and Washed hands and Washed hands but Washed hands but
document the procedure. documented the some of the details most of the details documentation was
information about of procedure were of the procedure not done
 the procedure and not documented were not
properly and documented
completely

OVERALL SCORE: ________________

Target raw score is 52 out of 69. If raw score is less than 52, repeat the return demonstration.

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FACULTY SIGNATURE OVER PRINTED NAME