1.0 NAPNAP contact hour. This continuing education activity is offered free to NAPNAP Members. For non-members, this continuing education activity rate is $10. The gynecologic assessment in prepubertal children is an essential element of a thorough physical examination. It is not unusual for pediatric health care providers, including pediatric nurse practitioners (PNPs), to feel challenged by assessing for gynecologic signs and symptoms and performing a physical examination of the external genitalia in prepubertal girls (Bhoopatkar, Wearn, & Vnuk, 2017; Dabson, Magin, Heading, & Pond, 2014; McBain, Pullon, Garrett, & Hoare, 2016). The benefits of routine genital examinations have been discussed in the literature, including increasing patient and caregiver comfort with an examination, improved health care provider skill and confidence with examination and diagnostic assessment, providing a baseline for future examinations, and documentation of previously undiscovered anomalies (Johnson, 2002). This continuing education article will discuss genital examination preparation and techniques, normal prepubertal hymenal variants, common prepubertal gynecologic problems, and genital examination findings concerning abuse.

IMPORTANT: You must be logged in using your NAPNAP Username and Password to be recognized as a Member of NAPNAP.  If you are a current member of NAPNAP, and you are being asked to purchase this activity at the Non-Member rate, please contact the NAPNAP National Office at (877) 662-7627 to request assistance prior to entering any payment information.

Participants are forbidden to reproduce, republish, redistribute, or resell this course in any other form. For copyright-related questions, please email your question to: ce@napnap.org 

Copyright 2022 © by National Association of Pediatric Nurse Practitioners (NAPNAP).  Published by Elsevier Inc. All rights reserved.  

This continuing education activity is administered by the National Association of Pediatric Nurse Practitioners (NAPNAP) as an Agency providing continuing education credit. Individuals who complete this program and earn a 70% or higher score on the post test will be awarded 1.0 NAPNAP contact hour.

Keywords: Prepubertal, genital examination, gynecologic