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What major source of distress is commonly experienced by toddler and preschool age patients being transported to the operating room?

  1. Fear of the unknown

  2. Separation anxiety

  3. Fear of injections

  4. Noise and lights

The correct answer is: Separation anxiety

Toddler and preschool age patients often experience separation anxiety when being transported to the operating room. This age group typically has strong attachments to their primary caregivers and may feel anxious or fearful when separated from them. The environment of a hospital, particularly during pre-operative procedures, can exacerbate these feelings, as children may not fully understand the situation or the reasons for the separation. Fear of the unknown is also a concern in this age group; however, the expectation of leaving a caregiver is particularly salient at this developmental stage. Fear of injections and the presence of noise and lights can contribute to overall distress, but these factors tend to stem from or be intensified by the core issue of separation. A child who is comforted and reassured by a caregiver is more likely to cope effectively with other sources of anxiety. Therefore, separation anxiety is recognized as the primary distressing factor in these situations.