(1) Useful Strategies for Examination 

1. Examine a child sitting on parent's lap. Try to be at the child’s eye level.

2. First examine the child's toy or teddy bear, then the child.

3. Let the child do some of the examination (e.g., move the stethoscope). Then go back and "get the places we missed."

4. Ask the toddler who keeps pushing you away to "hold your hand." Then have the toddler "help you" with the examination.

5. Some toddlers believe that if they can't see you, then you aren't there. Perform the examination while the child stands on the parent's lap, facing the parent.

6. If 2-yr-olds are holding something in each hand (such as tongue depressors), it is more difficult for them to fight or resist.

7. Hand the child an age-appropriate book and engage the child in reading.

(2) Useful Toys and Aids

1. "Blow out" the otoscope light.

2. "Beep" the stethoscope on your nose.

3. Make tongue-depressor puppets.

4. Use the child's own toys for play.

5. Jingle your keys to test for hearing.

6. Shine the otoscope through the tip of your finger (or the child's finger) to show it doesn't hurt, "lighting it up," and then examine the child's ears with it.

7. Use age-appropriate toys and books.

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