Answer :
Atraumatic care in medical procedures like a lumbar puncture can be enhanced by allowing a child to have familiar objects such as a teddy bear for comfort. The lumbar puncture is safely performed in the lower lumbar region to collect CSF, as the spinal cord ends above this level, minimizing risks. Therefore, the correct option is C.
The action that provides the greatest contribution toward atraumatic care for a 3-year-old boy undergoing a lumbar puncture can vary depending on individual needs, but generally, letting the child take his teddy bear with him offers significant comfort and a sense of security during medical procedures. Additionally, research has shown that having a child life specialist play with the child and keeping the parents calm in front of the child also contribute to reducing anxiety and distress.
Why is the Lumbar Puncture Performed in the Lower Lumbar Area?
The lumbar puncture is performed in the lower lumbar area of the vertebral column because the anatomy of the CNS allows for a safer insertion of a needle into this region. The procedure is done to collect cerebrospinal fluid (CSF) for testing, which can diagnose a range of conditions. The lower lumbar region is chosen because the spinal cord typically ends above this level, hence reducing the risk of damaging the spinal cord.
