The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?

A. At 6 years, children are expected to have mastered the ability to descend stairs without needing to place both feet on each step or hold onto the railing.

B. By 3 years of age, children typically begin to walk up stairs using a reciprocal pattern, placing only one foot on each step, but may still require a railing for support when going down.

C. At 4 years, children should be able to go both up and down stairs using a reciprocal pattern and without the need for a rail.

D. By 5 years, the expectation is that children can confidently navigate stairs in a manner similar to adults, without placing both feet on each step or requiring railing support.

A. Set of building blocks: While building blocks can be engaging toys for children, they may not effectively address the emotional needs of a child experiencing distress or separation anxiety. Building blocks are more suitable for activities that promote creativity and fine motor skills.

B. Toy hammer and pounding boarD. Toys that involve physical activity, such as a toy hammer and pounding board, may not be appropriate for a child experiencing emotional distress. These toys may require energy and concentration that the child may not be able to focus on during a tantrum.

C. Picture book about hospitals: While a picture book about hospitals may help familiarize the child with the hospital environment, it may not provide immediate comfort during a tantrum. This type of resource may be more beneficial for preparing the child for medical procedures or explaining what to expect during hospitalization.

D. Stuffed animal: Providing a stuffed animal can offer comfort and reassurance to a child experiencing stress or separation anxiety. A soft and cuddly toy like a stuffed animal can serve as a transitional object, providing emotional support and security when the parent is not present. Children often form attachments to stuffed animals, which can help them cope with unfamiliar or challenging situations.