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Which approach can help optimize yield during a pediatric examination?

  1. Doing the examination out of order if necessary

  2. Being very orderly throughout the entire examination

  3. Using firmness to complete the examination

  4. Placing the infant on the table while Mom watches closely

The correct answer is: Doing the examination out of order if necessary

Optimizing yield during a pediatric examination often requires flexibility and adaptability. Conducting the examination out of order, if necessary, allows the healthcare provider to prioritize aspects that may be more tolerated by the child at that moment. Children can be unpredictable in their behavior, and factors such as fatigue, discomfort, or anxiety may impact their cooperation. By adjusting the sequence of the examination, the provider can ensure that critical assessments are completed when the child is most cooperative and calm, thereby maximizing the effectiveness of the examination. For instance, beginning with less invasive or less distressing procedures may help in building rapport and trust with the child, making them more amenable to subsequent assessments that might be more uncomfortable. Overall, this approach fosters a more positive experience for both the child and the caregiver, ultimately leading to more valuable clinical information being gathered.