The nurse is preparing to perform a well child examination on a 3-year-old child. The child is clinging to his mother and screaming. Which of the following measures would most allay his fears?
a. Allow him to stay on the exam table with his mother in the room.
b. Suggest that the mother reschedule the exam.
c. Allow the mother to hold him on her lap during the exam.
d. Use distraction techniques such as talking about a favorite television character.
C
Preschoolers fear being left alone and experiencing pain. The measure which would most allay his fears is to allow his mother to hold him on her lap during the exam. Allowing the mother to stay in the room will promote his feeling of security; however, having him stay on the exam table is not an appropriate action. Rescheduling the exam is not appropriate because it does not resolve his anxiety and fear. It only delays the situation until a later time. Using distraction techniques can increase his cooperation; however, it is not the measure that will most allay his fears.
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