The nurse is completing a physical examination of a four-year-old child. The best position in which to place the child for assessment of the genitalia would be:
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-leg position.
4
Rationale 1: The child will not tolerate the legs at a 50-degree angle for long.
Rationale 2: There is no reason for a side-lying position, and the child will not tolerate holding the top leg up for long.
Rationale 3: Prone with knees drawn up will allow assessment of the anus, but it will not allow for visualization of the vaginal area.
Rationale 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.
Global Rationale:
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