The nurse needs to assess a 15-month-old child who is sitting quietly on his father's lap. What initial action by the nurse would be most appropriate?
a. Ask the father to place the child on the exam table.
b. Undress the child while he is still sitting on his father's lap.
c. Talk softly to the child while taking him from his father.
d. Begin the assessment while the child is in his father's lap.
ANS: D
For young children, particularly infants and toddlers, preserving parent–child contact is a good way of decreasing stress or the need for physical restraint during an assessment. For example, much of a patient's physical examination can be done with the patient in a parent's lap with the parent providing reassuring and comforting contact. The initial action would be to begin the assessment while the child is in his father's lap.
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