Which strategy is not always appropriate for a pediatric physical examination?
a. Take the history in a quiet, private place.
b. Examine the child from head to toe.
c. Exhibit sensitivity to cultural needs and dif-ferences.
d. Perform frightening procedures last.
B
The classic approach to a physical examination is to begin at the head and proceed through the entire body to the toes. When examining a child, however, the examiner must tailor the physical assessment to the child's age and developmental level. The nurse should collect the child's health history in a quiet, private area and painful or frightening procedures should be left to the end of the examination. The nurse should always be sensitive to cultural needs and differences among children.
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