Citation

Hornor G. J. Pediatr. Health Care 2010; 24(3): 145-151.

Affiliation

Nationwide Children's Hospital, Center for Child and Family Advocacy, 655 E Livingston Ave, Columbus, OH 43205, USA.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.pedhc.2008.10.007

PMID

20417886

Abstract

Sexual abuse is a problem of epidemic proportions in the United States. Pediatric nurse practitioners (PNPs) are at the forefront of providing care to children and families. The PNP is in a unique position to educate patients and families regarding sexual abuse and dispel common myths associated with sexual abuse. One such myth is that a normal ano-genital examination is synonymous with the absence of sexual abuse. This article will provide primary care providers, including PNPs, with a framework for understanding why a normal ano-genital examination does not negate the possibility of sexual abuse/assault. Normal ano-genital anatomy, changes that occur with puberty, and physical properties related to the genitalia and anus will be discussed. Photos will provide visualization of both normal variants of the pre-pubertal hymen and genitalia as well as changes that occur with puberty. Implications for practice for PNPs will be discussed.

Language: en