A nurse observes a student nurse examining a newborn baby boy's scrotum and testicles. The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present
What action by the nurse is best?
A.
Ask the parents if this is a familial trait seen in male family members.
B.
Call the health-care provider and request a urology consult.
C.
Have the student repeat the exam using the proper technique.
D.
Perform the exam himself or herself and document the findings.
ANS: C
The presence of only one descended testicle does call for a urology consultation. However, the student performed the examination incorrectly. The nurse should instruct the student on the proper technique (place the second finger at the posterior scrotal midline with the thumb on the anterior midline) and ask that the exam be repeated. The nurse is not helping the student by simply doing the exam. The situation of one testicle needs to be addressed whether or not this is seen frequently in this family, so asking the family about other males who had this condition is irrelevant.
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