Parents of a newborn with ambiguous genitalia want to know how long they will have to wait to know whether they have a boy or a girl. The nurse answers the parents based on what knowledge?
a. Chromosome analysis will be complete in 7 days.
b. A physical examination will be able to provide a definitive answer.
c. Additional laboratory testing is necessary to assign the correct gender.
d. Gender assignment involves collaboration between the parents and a multidisciplinary team.
ANS: D
Gender assignment is a complex decision-making process. Endocrine, genetic, social, psychologic, and ethical elements of sex assignment have been integrated into the process. Parent participation is included. The goal is to enable the affected child to grow into a well-adjusted, psychosocially stable person. Chromosome analysis usually takes 2 or 3 days. A physical examination reveals ambiguous genitalia, but additional testing is necessary. A "correct" gender may not be identifiable.
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