Author Question: The parents of a child born with ambiguous genitalia tell the nurse that family and friends are ... (Read 92 times)

ssal · **on:** Jun 28, 2018

The parents of a child born with ambiguous genitalia tell the nurse that family and friends are asking what caused the baby to be this way. Tests are being done to assist in gender assignment. What should the nurse's intervention include?

a. Explain the disorder so they can explain it to others.
b. Help parents understand that this is a minor problem.
c. Suggest that parents avoid family and friends until the gender is assigned.
d. Encourage parents not to worry while the tests are being done.

Question 2

The parents of a 2-year-old boy who had a repair of exstrophy of the bladder at birth ask when they can begin toilet training their son. The nurse replies based on what knowledge?

a. Most boys in the United States can be toilet trained at age 3 years.
b. Training can begin when he has sufficient bladder capacity.
c. Additional surgery may be necessary to achieve continence.
d. They should begin now because he will require additional time.

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

Answer to Question 1

ANS: A
Explaining the disorder to parents so they can explain it to others is the most therapeutic approach while the parents await the gender assignment of their child. Ambiguous genitalia is a serious issue for the family. Careful testing and evaluation are necessary to aid in gender assignment to avoid lifelong problems for the child. Suggesting that parents avoid family and friends until the gender is assigned is impractical and would isolate the family from their support system while awaiting test results. The parents will be concerned. Telling them not to worry without giving them specific alternative actions would not be effective.

Answer to Question 2

ANS: C
After repair of the bladder exstrophy, the child's bladder is allowed to increase capacity. Several surgical procedures may be necessary to create a urethral sphincter mechanism to aid in urination and ejaculation. With the lack of a urinary sphincter, toilet training is unlikely. The child cannot hold the urine in the bladder. Bladder capacity is one component of continence. A functional sphincter is also needed.