A 2-month-old uncircumcised infant has been brought to the clinic ...

[mia]

A 2-month-old uncircumcised infant has been brought to the clinic for a well-baby checkup. How would the nurse proceed with the genital examination?
 
  a. Eliciting the cremasteric reflex is recommended.
  b. The glans is assessed for redness or lesions.
  c. Retracting the foreskin should be avoided until the infant is 3 months old.
  d. Any dirt or smegma that has collected under the foreskin should be noted.

Question 2

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?
 
  a. A good time to examine your testicles is just before you take a shower.
  b. If you notice an enlarged testicle or a painless lump, call your health care provider.
  c. The testicle is egg shaped and movable. It feels firm and has a lumpy consistency.
  d. Perform a testicular examination at least once a week to detect the early stages of testicular cancer.

[meltdown117]

Answer to Question 1

ANS: C
If uncircumcised, then the foreskin is normally tight during the first 3 months and should not be retracted because of the risk of tearing the membrane attaching the foreskin to the shaft. The other options are not correct.

Answer to Question 2

ANS: B
If the patient notices a firm painless lump, a hard area, or an overall enlarged testicle, then he should call his health care provider for further evaluation. The testicle normally feels rubbery with a smooth surface. A good time to examine the testicles is during the shower or bath, when one's hands are warm and soapy and the scrotum is warm. Testicular self-examination should be performed once a month.

[mia]

TYSM

[ricroger]

Gracias!