Final answer:
During an examination of a child's genitalia, the nurse must be aware of the potential anxiety it may cause and should have a parent present as a secure base. Discussions of findings should be postponed until the end of the exam, and privacy must be respected, particularly with adolescents.
Step-by-step explanation:
When examining a child's genitalia, the nurse should understand that this examination may provoke anxiety in the child. It is important to create a safe and secure environment for the child, often involving the presence of a parent as a secure base. Discussions related to the findings of the examination should typically wait until the end of the exam to maintain a sense of normalcy throughout the process. Additionally, respecting patient privacy and confidentiality is crucial, especially when dealing with adolescents who may be more aware of their sexual health and have a desire for privacy. However, involving parents in the process is significant, particularly when considering treatment decisions for minors who are not legally able to consent on their own behalf.
It is essential to navigate the complexities of examining and discussing findings related to a child's genitalia with sensitivity and professionalism. This includes understanding the psychosexual stages of development, considering issues related to intersex children, and being aware of how memories of such exams can be recalled or suggested in later years.