# A nurse is assessing a 6-month-old male infant with hypospadias. Which assessment finding would the nurse expect to observe? > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=542550 > language: ko > subject: Child Health ## 문제 A nurse is assessing a 6-month-old male infant with hypospadias. Which assessment finding would the nurse expect to observe? ## 보기 1. The urethral opening is located on the dorsal surface of the penis 2. The urethral opening is located on the ventral surface of the penis **✔ 정답** 3. The foreskin is completely absent from birth 4. The penis curves upward during erection **정답: 2** ## 해설 Hypospadias is characterized by a urethral opening on the ventral surface of the penis. Other options describe dorsal location (epispadias), absent foreskin (not typical), or upward curvature (not specific to hypospadias). ## 심화 해설 Understanding Hypospadias Hypospadias is a congenital condition in which the urethral opening (meatus) is located on the ventral surface (underside) of the penis, rather than at the tip. This occurs due to incomplete fusion of the urethral folds during fetal development. The condition is one of the most frequent congenital anomalies in male neonates . The location of the meatus can vary along the ventral shaft, from the glans to the perineum, and is often accompanied by a hooded dorsal foreskin and chordee (ventral curvature of the penis). Analysis of Assessment Findings The correct assessment finding for an infant with hypospadias is that the urethral opening is located on the ventral surface of the penis. - Option 1 (Dorsal surface): A urethral opening on the dorsal surface describes epispadias, a different congenital anomaly, not hypospadias. - Option 2 (Ventral surface): This is the defining anatomical feature of hypospadias. The incomplete fusion of the urethral folds results in the meatus opening anywhere along the ventral midline . - Option 3 (Absent foreskin): The foreskin is not completely absent in hypospadias. Typically, it develops abnormally, resulting in a "hooded" appearance where the foreskin is present on the dorsal side but absent on the ventral side. - Option 4 (Upward curvature): The curvature associated with hypospadias is chordee, which is a ventral (downward) curvature, not an upward curve. This is caused by fibrous bands of tissue that tether the penis downward. Clinical Significance and Nursing Implications The assessment of hypospadias is critical because it directly impacts nursing care and patient education. A key nursing intervention is to avoid circumcision immediately after birth. The dorsal hooded foreskin is often used as a tissue graft during surgical repair, making its preservation essential. Corrective surgery is generally advised within the first 6 to 18 months of life . The goals of surgical repair, such as the tubularized incised plate (TIP) urethroplasty, are to create a functional neourethra at the tip of the glans, correct any chordee, and achieve a cosmetically normal appearance. To minimize postoperative complications like urethrocutaneous fistulas, a second-layer coverage using tissues such as dartos fascia or a tunica vaginalis flap is performed over the neourethra . Postoperative care focuses on maintaining the patency of a urinary catheter or stent, preventing infection, and managing bladder spasms. ## 임상 시나리오 Hypospadias Assessment in InfantsKey Visual Cues for the NCLEX The defining feature of hypospadias is a urethral meatus located on the ventral surface of the penis, not at the tip. The foreskin typically has a hooded appearance, being present dorsally but absent ventrally. Do not confuse this with a completely absent foreskin. Associated chordee causes a ventral (downward) curvature of the penis, which is distinct from an upward curve. CautionA dorsal urethral opening indicates epispadias, a different congenital anomaly. Never circumcise an infant with hypospadias, as the foreskin may be needed for surgical repair. ## 핵심 개념 - **Hypospadias** — A congenital condition where the urethral meatus opens on the ventral surface of the penis due to incomplete fusion of urethral folds. - **Chordee** — A ventral (downward) curvature of the penis commonly associated with hypospadias, caused by fibrous bands of tissue. - **Epispadias** — A rare congenital anomaly where the urethral opening is located on the dorsal surface of the penis. - **Urethral Meatus** — The external opening of the urethra, normally located at the tip of the glans penis. ## 같은 주제 문제 - [A nurse is assessing a 2-year-old male toddler with suspected hypospadias. Which assessmen…](https://mymerci.kr/pages/nclex_q.php?qn_id=542551) - [A 6-month-old male infant is brought to the pediatric clinic for routine examination. Duri…](https://mymerci.kr/pages/nclex_q.php?qn_id=542552) - [A nurse is caring for a 9-month-old infant who underwent surgical repair of hypospadias 2 …](https://mymerci.kr/pages/nclex_q.php?qn_id=542553) - [A nurse is caring for a 12-month-old male infant who will undergo hypospadias repair surge…](https://mymerci.kr/pages/nclex_q.php?qn_id=542554) - [A nurse is caring for a 6-month-old infant who underwent surgical repair of hypospadias 2 …](https://mymerci.kr/pages/nclex_q.php?qn_id=542555) --- More free questions: [기출문제](https://mymerci.kr/) _학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요._