Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand which of the following ideas?
a. Manipulation of the genitalia and masturbation are a natural, private behavior of toddlerhood.
b. Masturbation needs to be stopped before the child enters public or private school.
c. Their child may be overly interested in sex, and this may be a sign of sexual abuse.
d. Other caregivers will not let their children play with a child who masturbates.
A
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A Correct: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that manipulation of the genitalia and masturbation are a natural, private behavior of toddlerhood.
B Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that masturbation does not need to be stopped before the child enters school. However, the nurse needs to emphasize that masturbation should be private behavior. Children who openly masturbate are inviting a reaction such as discipline. They may be overwhelmed by their sexual feelings and are asking others to help them channel these feelings into more constructive outlets.
C Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. The nurse would do some teaching with the caregivers to help them understand that masturbation is a normal part of sexual development. However, if the child engages in activities that mimic adult sexual behavior, an evaluation for sexual abuse should be obtained.
D Incorrect: Caregivers share with the nurse a concern that their 34-month-old child may be masturbating. Teaching the caregivers that other caregivers will not let their children play with a child who masturbates would not be a helpful item to teach.
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