A registered nurse is preparing to perform a physical examination on a 5-year-old child.To make the child feel safer during the examination the nurse should do which of the following?

A) Examine the child's fingernails before listening to his breath sounds.
B) Question only the child so as to avoid unwanted parental influence.
C) Perform palpation before visual inspection.
D) Calls the parents by their first names to establish a more trusting bond.

Children will feel safer during an examination if it is initiated from the periphery and then moves to the central.For example,examine the extremities before moving to the chest.It also helps to perform parts of the examination that you can do visually before actually touching the child.When obtaining histories of infants and children,gather all or part of the information from parents or guardians.Call children by their preferred name,and address parents formally (e.g.,as "Mr.and Mrs.Brown")rather than by first names.