In what position should a child be during postural drainage for the upper lobe posterior segment?

In what position should a child be during postural drainage for the upper lobe posterior segment?

• A. Child leans forward against the pillow
• B. Supine with both legs elevated
• C. Prone on a flat surface
• D. Left side-lying with a pillow under the leg

Answer: (A)

For postural drainage of the upper lobe posterior segment, positioning the child to lean forward against a pillow is effective as it facilitates the drainage of secretions from the area of the lungs being targeted. This position helps to open up the airways and allows gravity to assist in the movement of mucus from the upper lobes toward the trachea, where it can be coughed out more easily. By leaning forward, the child alters the orientation of the pulmonary structures, creating a favorable angle for drainage. Other positions, such as being supine with legs elevated, do not specifically target the upper lobe posterior segment for effective drainage. Similarly, lying prone or side-lying does not optimize drainage from this particular lung area. Each of these positions lacks the necessary orientation that promotes the effective removal of secretions from the upper lobe posterior region. Therefore, leaning forward against a pillow is the most appropriate and beneficial position for achieving the desired therapeutic outcome.

For postural drainage of the upper lobe posterior segment, positioning the child to lean forward against a pillow is effective as it facilitates the drainage of secretions from the area of the lungs being targeted. This position helps to open up the airways and allows gravity to assist in the movement of mucus from the upper lobes toward the trachea, where it can be coughed out more easily. By leaning forward, the child alters the orientation of the pulmonary structures, creating a favorable angle for drainage.

Other positions, such as being supine with legs elevated, do not specifically target the upper lobe posterior segment for effective drainage. Similarly, lying prone or side-lying does not optimize drainage from this particular lung area. Each of these positions lacks the necessary orientation that promotes the effective removal of secretions from the upper lobe posterior region. Therefore, leaning forward against a pillow is the most appropriate and beneficial position for achieving the desired therapeutic outcome.