A mother brings her 4-year-old daughter to clinic. She states that she is upset because she has caught her child masturbating. Which response by the nurse is best for calming the mother?
a. "Don't worry. This is normal for a child her age. She will grow out of it."
b. "That is a natural part of development. Your child is exploring and becoming familiar with her body."
c. "Most children have grown out of that phase by now. She might be developmentally delayed."
d. "That is an abnormal behavior for a female child. I'm going to refer you to a specialist."
B
Embarrassment about sexuality often stems from lack of understanding about what is normal behavior. The best way to alleviate that anxiety is to explain why the behavior occurs. Telling the parent that a child will grow out of it can create more anxiety because the parent will be wondering when the behavior should stop. Sexual development is a continual process that begins in infancy and continues into young adulthood. Both male and females must establish gender identity, and self-exploration is normal for both genders.
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