Which of the following is NOT a positioning issue of site marking?

• A. Contractures
• B. Posture
• C. Mobility
• D. Dexterity

Answer: (D)

Positioning the stoma site is about how the body’s shape and movement affect where the opening should be drawn to stay comfortable and sealed during daily activities. If there are contractures, the abdominal surface is less flexible, altering where a mark will sit and how it will behave as the body moves. Posture changes—standing, sitting, bending—shift the abdominal contours, so the mark must be chosen in a way that remains functional across positions. Mobility also matters because a patient’s ability to move or adjust their body can influence where the site sits and how reliably it stays put during use. Dexterity, while important for handling and changing the appliance, does not impact where the site should be marked, so it is not considered a positioning issue.