A 2-year-old child has been brought to the clinic for a well-child checkup. The best way for the nurse to begin the assessment is to:
a. Ask the parent to place the child on the examining table.
b. Have the parent remove all of the child's clothing before the examination.
c. Allow the child to keep a security object such as a toy or blanket during the examination.
d. Initially focus the interactions on the child, essentially ignoring the parent until the child's trust has been obtained.
ANS: C
The best place to examine the toddler is on the parent's lap. Toddlers understand symbols; therefore, a security object is helpful. Initially, the focus is more on the parent, which allows the child to adjust gradually and to become familiar with you. A 2-year-old child does not like to take off his or her clothes. Therefore, ask the parent to undress one body part at a time.
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