What should be the last step in the examination sequence of Rebecca?

The last step in the examination sequence for a child, such as Rebecca, should typically involve checking her eyes and oral cavity. This is because these parts of the examination can be more intrusive and may cause discomfort or anxiety if performed earlier during the exam. By leaving these assessments until the end, the examiner allows the child to become more comfortable throughout the process.

Evaluating the eyes can provide valuable information about a variety of systemic conditions, and inspection of the oral cavity can reveal issues related to dental health or infections. Performing these checks last helps to minimize disruption to the child’s overall ease and helps keep the experience as positive as possible.

In contrast, examining breathing patterns, inspecting ears, and assessing the abdomen are important but generally less stressful or invasive for the child when compared to the more detailed observations of the eyes and oral cavity. Thus, positioning these less intrusive parts of the exam earlier in the sequence helps establish a rapport and can lead to a more cooperative examination overall.