A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler; however, nothing is effective
Which of these actions by the nurse takes priority?
1. Instruct the father to hold the toddler down tightly to complete the examination.
2. Allow the toddler to sit on the parent's lap and begin the assessment.
3. Allow the toddler to stand on the floor until he stops crying.
4. Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
Correct Answer: 2
Rationale: Toddlers are most comfortable when sitting with the parents. Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.
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