A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse?

Question

A nurse is planning to complete a physical examination of a toddler.  Which approach is an appropriate intervention by the nurse?

Quizplus · Accepted Answer

The nurse should plan to assess the toddler client in a nonthreatening environment, taking time to develop rapport prior to beginning the examination. This can be achieved by talking to the toddler about favorite objects and slowly initiating contact. Parent involvement, such as holding the child and assisting the child with examination activities, reduces anxiety and encourages cooperation in toddler clients. Age-appropriate games or toys may be used if needed to gain the client's cooperation. (Option B) Use minimal physical contact initially, and have the parent remove the outer clothing. (Option C) Medical equipment may appear frightening to a toddler and should remain out of sight until needed. It may also be beneficial to allow the child to inspect and touch new pieces of equipment as they are used. (Option D) It is best to order a physical examination for a toddler from least to most invasive, which commonly means assessing ears, nose, and mouth toward the end of a visit. Head-to-toe ordered assessments are more appropriate for school-age children. Educational objective: The nurse should allow a parent to interact with the toddler and assist with the examination process to encourage client cooperation. Examination of a toddler should proceed from least to most invasive, allowing the client to inspect pieces of equipment before use. Use minimal physical contact initially.

A Nurse Is Planning to Complete a Physical Examination of a Toddler