Final answer:
The nurse should obtain a detailed family history, refer to genetic counseling, and explain the need for chromosomal analysis. Preparing for surgery or planning for circumcision without informed consent is not recommended due to ethical considerations.
Step-by-step explanation:
If a nurse is caring for an infant with ambiguous genitalia, the appropriate actions for the nurse to take include:
- Obtaining a detailed family history to identify any genetic patterns or hereditary conditions.
- Referring the child and family to genetic counseling to provide support and guidance in understanding the complexities of intersexuality.
- Explaining the need for a chromosomal analysis to determine the genetic sex of the child, which will help in making informed decisions about care and treatment.
It is important to note that preparing for surgery or planning for a circumcision without the informed consent of the child, once they are old enough to participate in the decision, could be contrary to medical ethics and the best interests of the child. Actions should be guided by careful deliberation and consent, respecting the right of the individual to participate in decisions about their body.