Author Question: Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the ... (Read 44 times)

karateprodigy · **on:** Jun 28, 2018

Surgery is performed on a child to correct cryptorchidism. The parents understand the reason for the surgery if they tell the nurse this was done to do what?

a. Prevent damage to the undescended testicle.
b. Prevent urinary tract infections.
c. Prevent prostate cancer.
d. Prevent an inguinal hernia.

Question 2

Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge?

a. Chromosome analysis will be complete in 7 days.
b. A physical examination will be able to provide a definitive answer.
c. Additional laboratory testing is necessary to assign the correct gender.
d. Gender assignment involves collaboration between the parents and a multidisciplinary team.

nothere · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
If the testes do not descend spontaneously, orchiopexy is performed before the child's second birthday, preferably between 1 and 2 years of age. Surgical repair is done to (1) prevent damage to the undescended testicle by exposure to the higher degree of body heat in the undescended location, thus maintaining future fertility; (2) decrease the incidence of malignancy formation, which is higher in undescended testicles; (3) avoid trauma and torsion; (4) close the processus vaginalis; and (5) prevent the cosmetic and psychologic disability of an empty scrotum. Parents understand the teaching if they respond the surgery is done to prevent damage.

Answer to Question 2

ANS: D
Gender assignment is a complex decision-making process. Endocrine, genetic, social, psychologic, and ethical elements of sex assignment have been integrated into the process. Parent participation is included. The goal is to enable the affected child to grow into a well-adjusted, psychosocially stable person. Chromosome analysis usually takes 2 or 3 days. A physical examination reveals ambiguous genitalia, but additional testing is necessary. A correct gender may not be identifiable.