Holding enteral feedings is generally not indicated unless abdominal girth increases by how much compared to baseline?

• A. 2-4 cm
• B. 4-6 cm
• C. 8-10 cm
• D. 12-14 cm

Answer: (C)

Evaluating tolerance to enteral nutrition relies on signs of GI distention, with abdominal girth used as a practical, objective measure. Since measurement can vary with technique and daily fluctuations, you compare current girth to the established baseline taken at the same spot and time. A substantial increase suggests significant distention from feeding intolerance, so holding enteral feeds allows reassessment and prevents potential complications like aspiration or worsening ileus. An increase of about 8-10 cm from baseline is the threshold that indicates this level of concern, whereas smaller rises may reflect gas, stool, or normal variation and don’t by themselves mandate stopping feeds. If distention continues to worsen or is accompanied by pain, vomiting, or high residuals, further evaluation is warranted.