What is the best action when initiating contact with a toddler for the first time?

• A. Ask the toddler to point to where it hurts.
• B. Kneel in front of the toddler and speak softly to the child.
• C. Tell the child your name and that you are the nurse.
• D. Call the child by name while picking up the toddler.

Answer: (B)

Approaching a toddler at their eye level and speaking in a calm, soft voice is the best first step because it creates safety and trust. When you kneel or sit to be on the child’s level, you reduce the intimidating height difference and show that you’re there to help, not to overwhelm. A gentle tone helps regulate the child’s arousal, making it easier for them to orient to you, make eye contact, and begin to cooperate. This foundation is important before asking questions, sharing your name, or performing any touch or interaction. Introducing yourself and your role is good, but it should come after you’ve established a reassuring, nonthreatening presence. Moving in too quickly to pick up or grab the child can trigger fear or resistance, whereas meeting them at their level with a soft voice invites trust and smoother communication.