Difficulty: Medium

Average Score: 67%

Which of the following actions should a medical assistant take when performing a capillary puncture on a 10-month-old patient

Rationale

Having the parent hold the child during the procedure is essential for a capillary puncture on a 10-month-old patient.

Having a parent hold the child provides comfort and security, which is crucial in minimizing anxiety and movement during the procedure. This supportive presence can help the medical assistant perform the capillary puncture more effectively and safely.

A (Place a bandage on the site after holding pressure for 1 min.) YOUR ANSWER

While applying a bandage is important after a puncture, doing so without the support of a parent may not address the immediate needs of the child. Holding pressure for one minute is also less relevant if the child is not securely held, as movement can lead to complications or prolonged bleeding.

B (Apply direct, firm pressure to the puncture site on the finger.) YOUR ANSWER

Applying pressure is part of the procedure to prevent bleeding, but it is difficult to achieve if the child is not held securely. If the child moves unexpectedly, the pressure may not be effective, and the risk of injury or additional complications can increase.

C (Warm the site for a minimum of 10 min prior to puncture.) YOUR ANSWER

Warming the site can help with blood flow and make the puncture easier, but it should be done in conjunction with other supportive measures. If the child is not comforted and held by a parent, the warming alone may not be sufficient to ensure a successful procedure.

Conclusion

In pediatric care, particularly with infants and young children, the emotional and physical support of a parent is vital during procedures such as a capillary puncture. Ensuring that the child feels secure in a parent's arms can lead to a smoother experience, reducing anxiety and movement. While other actions like applying pressure or warming the site are important, they cannot replace the calming influence of a parent during such a potentially distressing moment.

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