During the well-child assessment on a 2-year-old male the nurse notes that the testes are not descended. The nurse would correctly choose which of the following actions?
1. Report the finding to the healthcare provider.
2. Ask the parent if the child has had any surgeries.
3. Proceed with palpation of the scrotum.
4. Inquire about the child's voiding patterns.
1
Rationale 1: Undescended testes, called cryptorchidism, is a common finding, especially if the infant is preterm. The testes should descend spontaneously within the first year of life. If both testes do not descend, the male will be infertile and will be at a greater risk for the development of testicular cancer.
Rationale 2: The presence of surgical histories will not influence the condition or the actions that must be taken next.
Rationale 3: Palpation of scrotum will not promote the testicles to descend. The healthcare provider must be notified.
Rationale 4: Voiding patterns are not related to the occurrence of cryptorchidism.
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