The nurse is completing a physical examination of a 4-year-old girl. Which is the best position to place the child in to assess the genitalia?
1. Supine, with legs at a 50-degree angle
2. Right side-lying
3. In prone position, with knees drawn up under the body
4. Frog-legged position
4
Explanation:
1. The child will not tolerate the legs at a 50-degree angle for long.
2. There is no reason for a side-lying position, and the child will not tolerate holding the top leg up for long.
3. Prone with knees drawn up will allow assessment of the anus, but it will not allow for visualization of the vaginal area.
4. Having the child lie supine, flexing her knees and pulling them up to a frog-legged position, allows for accurate assessment of the genitalia and is well tolerated by the majority of children.
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