During assessment of a toddler, which approach is recommended?

• A. Examine on parent's lap; have a parent assist when possible.
• B. Stand at the child's level and touch minimally.
• C. Rely on the child to remain seated without supervision.
• D. Restrain the child in a chair and proceed quickly.

Answer: (A)

For toddlers, comfort and safety during an exam come from having a familiar caregiver involved. Examining on the parent’s lap and having the parent assist provides a secure, soothing presence that reduces fear and resistance. The parent can help position the child, hold still when needed, and calmly explain what’s happening, which makes it easier to complete the assessment accurately and without undue distress. This supportive setup fosters cooperation and trust, important for future visits.

Standing at the child’s level with minimal touch can reduce anxiety to some extent, but it doesn’t offer the same immediate comfort and hands-on help the parent provides. Expecting a toddler to stay seated without supervision is unrealistic and unsafe. Restraining the child in a chair and rushing the exam is distressing and can damage trust and cooperation.