What is the correct response when witnessing a child exhibiting signs of fear and distress during a medical exam?

When responding to a child exhibiting signs of fear and distress during a medical exam, the appropriate action is to focus on the child's emotional well-being first and foremost. Reporting the situation if abuse is suspected is crucial because the wellbeing of a child is paramount. This response acknowledges that the child's distress may stem from previous negative experiences or trauma, which requires immediate attention and appropriate intervention.

Additionally, addressing the signs of distress by understanding their potential source helps ensure that the child feels safe and protected. It emphasizes the healthcare provider's responsibility to create a safe environment, where the child can receive care without added psychological stress. Taking this step can also lead to further investigation if there are indications of abuse, ultimately protecting the child's welfare.

The other options do not adequately prioritize the child's emotional state or safety. Ignoring the child's behavior or proceeding without addressing their fears could re-traumatize them, while showing instruments could increase anxiety rather than alleviate it. Hence, reporting suspected abuse is a critical and responsible approach to take in such situations.