Author Question: Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include ... (Read 29 times)

Chloeellawright · **on:** Jun 27, 2018

Anticipatory guidance for the family of a preadolescent with a cognitive dysfunction should include information about:

a. institutional placement.
b. sexual development.
c. sterilization.
d. clothing.

Question 2

When would be the most appropriate time to inspect the genital area during a well-child examination of a 14-year-old female?

a. It is not necessary to inspect the genital area.
b. Examine the genital area first.
c. After the abdominal assessment.
d. Do the genital inspection last.

sarahccccc · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Preadolescents who have a cognitive dysfunction may have normal sexual development without the emotional and cognitive abilities to deal with it. It is important to assist the family and child through this developmental stage. Preadolescence does require the child to be institutionalized. Sterilization is not an appropriate intervention when a child has a cognitive dysfunction. By the time a child reaches preadolescence, the family should have received counseling on age-appropriate clothing.

Answer to Question 2

C
It is best to incorporate the genital assessment into the middle of the examination. This allows ample time for questions and discussion. If possible, proceed from the abdominal area to the genital area. A visual inspection of all areas of the body is included in a physical examination. Examination of the genital area can be embarrassing. It would not be appropriate to begin the examination of this area. Assessing the genital area earlier in the examination allows more time for the adolescent to ask questions and engage in discussion.