Which technique will the nurse use to facilitate the history and physical examination of a small child?

A) Examine the child's hands and feet before listening to breath sounds.
B) Direct assessment questions to the child to avoid unwanted parental influence.
C) Gently palpate the child's abdomen before auscultating for bowel sounds.
D) Call 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 extremities and then moves to the torso.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,the nurse should 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.