During physical exam of a newborn, the nurse palpates the scrotal sac and only locates one testicle. Which statement about undescended testicles is most accurate?
A) "The child can become infertile later in life as a result of decreased sperm count."
B) "This is more common in full-term infants when compared to premature births."
C) "This may be a precursor to the development of prostate cancer later in life."
D) "The child will need surgery to move the testes back into the scrotal sac since they rarely descend spontaneously."
Ans: A
Feedback:
The consequences of cryptorchidism include infertility, testicular torsion, testicular (rather than prostate) malignancy, and the possible psychological effects of an empty scrotum. Males with cryptorchidism usually have decreased sperm counts, poorer-quality sperm, and lower fertility rates than do men whose testicles descend normally. Spontaneous descent often occurs during the first 3 months of life, and by 6 months of age, the incidence decreases to 0.8%. Spontaneous descent rarely occurs after 4 months of age.
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