Which strategy is the best approach when initiating the physical examination of a 9-month-old male infant?
a. Undress the infant and do a head-to-toe examination.
b. Have the parent hold the child on his or her lap.
c. Put the infant on the examination table and begin assessments at the head.
d. Ask the parent to leave because the infant will be upset.
B
Feedback
A The head-to-toe approach needs to be modified for the infant. Uncomfortable
procedures, such as the otoscopic examination, should be left until last.
B Infants 6 months and older feel stranger anxiety. It is easier to do most of the
examination on the parent's lap to lessen anxiety.
C The infant may feel less fearful if placed in the parent's lap or with the parent
within visual range if placed on the examining table. The head-to-toe approach is
modified for the infant.
D There is no reason to ask a parent to leave when an infant is being examined.
Having the parent with the infant will make the experience less upsetting for the
infant.
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