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4. Allow asking questions.
5. Describe procedures as they are about to be
performed.
6. Use play to explain procedures and activities.
7. Allow handling of equipment or instruments, which
will ease fear and help to answer questions.
E. School-age child
1. Establish limits.
2. Provide reassurance to help in alleviating fears and
anxieties.
3. Engage in conversations that encourage thinking.
4. Use medical play techniques.
5. Use photographs, books, dolls, and videos to explain
procedures.
6. Explain in clear terms.
7. Allow time for composure and privacy.
F. Adolescent
1. Remember that the adolescent may be preoccupied
with body image.
2. Encourage and support independence.
3. Provide privacy.
4. Use photographs, books, and videos to explain
procedures.
5. Engage in conversations about the adolescent’s
interests.
6. Avoid becoming too abstract, too detailed, and too
technical.
7. Avoid responding by prying, confronting,
condescending, or expressing judgmental attitudes.
VI. Car Safety Seats and Guidelines
A. The safest place for all children to ride, regardless of age, is in the
back seat of the car.
B. Lock the car doors; 4-door cars should be equipped with child
safety locks on the back doors.
C. There are different types of car safety seats, and the
manufacturer’s guidelines need to be followed.
D. For specific information regarding car safety, refer to Car seats:
information for families (copyright © 2018 American Academy of
Pediatrics), found at
https://www.healthychildren.org/English/safety-prevention/on-
the-go/Pages/Car-Safety-Seats-Information-for-Families.aspx
VII. Preventive Pediatric Health Care
A. The American Academy of Pediatrics (AAP) and Bright Futures
have developed guidelines regarding the recommended ages
children should receive certain assessments and screenings. See
Box 18-2 for more information regarding the recommended types
of assessments and screenings and see Box 18-3 for the suggested
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