An 18-month-old toddler scheduled for routine vaccinations begins to cry when placed on the examination table. The parent attempts to comfort the toddler, but nothing is effective. Which action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment.
B) Allow the toddler to stand on the floor until the crying stops.
C) Ask another nurse in the office to hold the toddler, since the parent is not able to control the toddler's behavior.
D) Instruct the parent to hold the toddler down tightly to complete the examination.
Answer: A
Toddlers are most comfortable when sitting with the parents. Vaccinations can be administered in this way if the parent is taught proper therapeutic holding techniques to keep everyone safe for the procedure. 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 vaccinations to prevent injury from movement.
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