A clinic nurse is assessing a 16 year-old girl with menstrual complaints. When the nurse learns that the client has had a recent infibulation, the nurse should
a. call the local authorities.
b. find a smaller speculum.
c. educate the client about perineal hygiene.
d. tell the parents this is not done in this country.
A
An infibulation is a type III female genital mutilation (FGM) consisting of removal of labia mi-nora, the interior labia majora, and suturing the two sides of the vulva together, which leaves only a small hole for urination and menstrual flow. Practiced mainly in African countries, FGM on a girl under the age of 18 is considered child abuse and must be reported to authorities.
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