When performing the respiratory portion of a pediatric examination, tear off a sliver of table paper approximately 1 in × 5 in. Dangle the paper a few inches in front of your face, and ask the child to blow just enough to make the paper barely move. This technique gives the child something to focus while you to listen to his or her chest.—JANIS MANDAC-DY, CPNP, San Francisco (183-7)

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