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Answer :
Administering a sedative provides the greatest atraumatic care for a child's lumbar puncture because it reduces anxiety and pain. Lumbar punctures are performed in the lower lumbar area to safely access CSF without risking spinal cord injury. The correct option is d) Administering a sedative to calm the child before the procedure.
The action that provides the greatest contribution toward atraumatic care for a 3-year-old child undergoing a lumbar puncture is administering a sedative to the child before the procedure. This is because young children may not fully understand the explanations using simple terms due to their cognitive development stage and giving them a choice in blood pressure measurement arm does not mitigate the stress of the lumbar puncture itself. Sedation helps to calm the child and reduce anxiety and pain associated with the procedure, thus ensuring a more child-friendly approach. Lumbar punctures are performed in the lower lumbar area of the vertebral column because the anatomy of the CNS is such that it is a relatively safe location to insert a needle for accessing cerebrospinal fluid (CSF) without damaging the spinal cord. The spinal cord typically ends before the lumbar region, reducing the risk of injury during the procedure.
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