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Assess the color and consistency of the vomitus.

Assessing the color and consistency of the vomitus will assist the nurse in determining if regurgitations are present because of overfeeding or intestinal complications.

Measure the abdominal circumference once a shift.

The nurse should measure the abdominal circumference every 4-8 hours. An increasing abdominal circumference is caused by abdominal distension, which signals intolerance of feedings or intestinal complications.

Aspirate the stomach contents to measure the residual.

With the presence of abdominal distension and regurgitation with feedings, the nurse must aspirate the stomach contents to measure residuals. Distention, regurgitation, and increasing residuals are all signs of intestinal complications.