Abdominal Nursing Assessment Checklist
Document a comprehensive abdominal assessment for nursing care.
Patient Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nurse Name
*
First Name
Last Name
Reason for Assessment
*
Inspection Findings (Select all that apply)
*
Flat abdomen
Distended abdomen
Scars or surgical marks
Visible peristalsis
Bruising/discoloration
Other
Abdominal Assessment Table
*
Rows
Normal
Abnormal
Not Assessed
Right Upper Quadrant
1
2
3
Left Upper Quadrant
4
5
6
Right Lower Quadrant
7
8
9
Left Lower Quadrant
10
11
12
Umbilical region
13
14
15
Palpation Findings
*
Soft, non-tender
Tenderness present
Rigidity
Guarding
Other
Auscultation: Bowel Sounds
*
Present, normal
Hypoactive
Hyperactive
Absent
Pain Assessment (0 = No pain, 10 = Worst pain)
*
No pain
0
1
2
3
4
5
6
7
8
9
Worst pain
10
0 is No pain, 10 is Worst pain
Gastrointestinal Symptoms (Select all that apply)
Nausea
Vomiting
Diarrhea
Constipation
Bloating
None
Other
Last Bowel Movement (Date and Description)
Additional Comments or Observations
Submit Assessment
Should be Empty: