Author Question: In infants and toddlers, it is recommended to perform the physical examination: A. In head-to-toe ... (Read 16 times)

tichca · **on:** Jun 25, 2018

In infants and toddlers, it is recommended to perform the physical examination:

A. In head-to-toe sequence
B. In noninvasive-to-invasive sequence
C. On the parent's lap
D. B and C

Question 2

When examining an infant, the clinician should recognize that separation anxiety is normal behavior in an infant as early as:

A. 2 months
B. 4 months
C. 6 months
D. 12 months

ankilker · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Allow toddlers to touch or hold some of your equipment before you begin the physical examination. Demonstrate what you are going to do on a doll, stuffed animal, or parent before doing it on the child. Use distraction as much as possible, and give the child choices when they exist, such as, Which ear should I look in first? Be direct but friendlytell the child what you are going to do instead of asking permission. At this age, continue to conduct as much of the examination as you can with the child on a parent's lap, working from noninvasive to invasive procedures.

Answer to Question 2

ANS: C
Infants are in the midst of the developmental stage of trust and mistrust, so they should be approached slowly. Be prepared for stranger anxiety in an infant of 6 to 7 months and for separation anxiety in an infant just slightly older. Owing to these normal fears, it is best to conduct most, or all, of your examination with the infant on the parent's lap.