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    STU 25SUM1 Pediatric Competency Proctored Exam

    When assessing a 3-month-old male infant, the nurse practitioner suspects hypospadias because:

    Explanation & Rationale

    Rationale: A. A urethral opening on the dorsal aspect of the glans penis is consistent with epispadias, not hypospadias. B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) aspect of the penis, rather than at the tip of the glans. Early detection is important for surgical planning and preventing complications with urination or future sexual function. C. Inability to retract the foreskin over the glans penis is phimosis and is not diagnostic of hypospadias. D. Inability to palpate a testicle suggests cryptorchidism, which is unrelated to the urethral meatus position.

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