Unless critically ill or injured, you should generally begin your assessment of a toddler:

Beginning your assessment of a toddler at the feet is a recommended practice because it helps to establish a sense of comfort and security for the child. Toddlers are often wary of medical exams and may feel anxious or threatened when approached from above, particularly if they cannot see the person assessing them. Starting at the feet allows the child to acclimate to your presence gradually, making the assessment process smoother.

This approach can also help to prevent the child from becoming frightened or distressed. As you move upwards in the assessment, the toddler can see you and respond to your voice or actions, which can further ease their anxiety. This method promotes cooperation and allows for a more thorough and effective assessment, ultimately ensuring that vital signs and other important checks can be completed with minimal resistance.

In contrast, starting at the head or torso may trigger fear or a defensive reaction, while assessing from the arms does not provide the same comforting, gradual approach that starting from the feet does.