Certified Pediatric Nurse (CPN)

When assessing a child in respiratory distress, what is the most appropriate initial action?

1. Allow the child to remain in her mother's lap

2. Allow the mother to give her a bottle for comfort

3. Place the child in the crib and remove her clothing

4. Administer oxygen while the child remains in her mother's lap

The correct answer is: Administer oxygen while the child remains in her mother's lap

In a scenario where a child is in respiratory distress, the priority is to ensure that the child receives adequate oxygenation while maintaining comfort and minimizing stress. Administering oxygen while allowing the child to remain in her mother's lap helps provide a sense of security and reassurance that can reduce anxiety for both the child and the caregiver. Keeping the child in a familiar and comforting environment, such as the mother's lap, is crucial because stress can exacerbate respiratory distress. The administration of oxygen is a critical intervention that addresses the immediate need for improved oxygenation, which is essential in managing respiratory distress effectively. Maintaining a calm environment while providing necessary care is vital in pediatric nursing, and offering oxygen in this manner supports both physiological and psychological needs during a distressing situation.