During the newborn exam of a male infant, the nurse notes the urethral meatus is located on the ventral aspect of the penis and the prepuce is incompletely fused ventrally. Parents request circumcision before discharge. What is the appropriate response?
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✓ Correct answer: A. Defer circumcisionThe correct answer is to defer circumcision. The findings describe hypospadias. The foreskin (prepuce) is often essential for future surgical reconstruction of the urethra and should not be removed. Distractor 1 is incorrect because proceeding would remove tissue critical for repair. Distractor 2 refers to a specific device but is still contraindicated. Distractor 3 is irrelevant to the structural anomaly. Distractor 4 is incorrect because imaging is not the immediate priority; stopping the circumcision is.
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