Pediatric ATI Practice Exam

Which relaxation strategy should a nurse implement for a young child before a painful procedure?

1. Ask the child to describe a pleasurable event.

2. Bounce the child gently while holding him upright.

3. Ask the child to hold his breath and blow it out slowly.

4. Rock the child in long rhythmic movements.

The correct answer is: Rock the child in long rhythmic movements.

Implementing a relaxation strategy such as rocking the child in long rhythmic movements is effective because it harnesses the calming effect of motion, which can soothe anxiety and discomfort in young children. This technique mimics the comforting, rhythmic sensations often felt during early development, reminiscent of being held or rocked by a caregiver. It promotes a sense of safety and security, helping to distract the child from the upcoming painful procedure. Rocking also helps to regulate the child’s physiological responses, potentially lowering heart rate and alleviating feelings of distress. When children feel secure, they are more likely to remain calm, making it easier for healthcare professionals to perform necessary procedures with minimal resistance. In contrast, the other strategies may not provide the same level of comfort or distraction. Describing a pleasurable event might require cognitive engagement that could intensify the child’s focus on the procedure rather than diverting it. Gently bouncing the child could be stimulating rather than calming if not done delicately, and asking a child to hold their breath may induce anxiety for some children by introducing a level of control that can feel limiting or stressful. Therefore, rocking is often more universally soothing for young children in anticipation of medical interventions.