Question 44

Nondominant dorsal hand is the appropriate site for dermal specimen collection on a toddler.

The nondominant dorsal hand is commonly chosen for dermal specimen collection in toddlers because it is easily accessible and minimizes the discomfort for the child. This site allows for effective blood collection while providing a safer option for both the child and the healthcare provider.

A) Nondominant dorsal hand

This option is correct as the nondominant dorsal hand is a preferred site for dermal specimen collection in young children. It is typically less sensitive than other areas, making it suitable for toddlers who may be more apprehensive or sensitive to pain.

B) Dominant lateral plantar heel

While the heel can be used for blood collection in infants, the dominant lateral plantar heel is generally not recommended for toddlers. This site can be more painful, and as children grow, it becomes less practical due to the thicker skin and increased movement.

C) Nondominant third finger

The nondominant third finger is not typically recommended for dermal specimen collection in toddlers. It may be more difficult to obtain an adequate sample from this location, and it can lead to more discomfort compared to the dorsal hand.

D) Dominant antecubital space

The dominant antecubital space is not appropriate for dermal specimen collection in toddlers. This area is more suitable for venipuncture in older children and adults, and it poses a higher risk of injury and discomfort in young children.

Conclusion

The nondominant dorsal hand is the most suitable site for dermal specimen collection in toddlers due to its accessibility and lower sensitivity, making the procedure less traumatic. In contrast, the other options either pose greater discomfort or are impractical for the age group in question, reinforcing the choice of the nondominant dorsal hand as the best option.