Which intervention is appropriate when examining a male infant for cryptorchidism?
a. Cooling the examiner's hands c. Eliciting the cremasteric reflex
b. Taking a rectal temperature d. Warming the room
ANS: D
For the infant's comfort, the infant should be examined in a warm room with the examiner's hands warmed. Testes can retract into the inguinal canal if the infant is upset or cold. Examining the infant with cold hands is uncomfortable for the infant and likely to cause the infant's testes to retract into the inguinal canal. It may also cause the infant to be uncooperative during the examination. A rectal temperature yields no information about cryptorchidism. Testes can retract into the inguinal canal if the cremasteric reflex is elicited. This can lead to an incorrect diagnosis.
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