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. Need for increased caloric intake

While toddlers may require adequate nutrition, emphasizing the need for increased caloric intake without individualized assessment and guidance may not be appropriate for all children.

B. Management of tantrums

Toddlers commonly experience tantrums as part of their development. Teaching parents effective strategies for managing and responding to tantrums can help promote positive behavior and reduce stress for both the child and the parents.

C. Dental care

Promoting good oral hygiene practices, such as regular brushing with fluoride toothpaste and routine dental check-ups, is essential for maintaining the toddler's oral health.

D. How to establish trust

While establishing trust is important for the parent-child relationship, this aspect of teaching may be more applicable to infants rather than toddlers who are already in the process of developing

trust with their caregivers.

E. How to encourage cooperative play

Encouraging cooperative play helps foster social skills, sharing, and cooperation in toddlers. Providing guidance on facilitating playdates, sharing toys, and resolving conflicts can support healthy social development.

A. "Can you stand very still while I feel how warm you are?": Toddlers may have difficulty understanding abstract requests or instructions. Asking a toddler to stand still to feel warmth may not effectively communicate the purpose of the assessment and may lead to confusion or

resistance.

B. "I am going to listen to your heart.": This statement provides clear, simple language that the toddler can understand. It prepares the child for the assessment and helps establish trust and cooperation.

C. "Can I listen to your lungs?": While this statement is appropriate for assessing respiratory sounds, it may not be as clear or specific as stating the intention to listen to the heart. Toddlers may not understand the term "lungs" as readily as "heart."

D. "I am going to take your blood pressure now.": This statement may cause anxiety or fear in the toddler, especially if they are unfamiliar with the procedure. It is important to prepare the child for each aspect of the assessment in a developmentally appropriate manner.