Understanding Disorders of Sexual Development

Studies estimate that the incidence of genital anomalies could be as high as 1 in 300 births. While it is rare for an infant to present with truly ambiguous genitalia, it is plausible that the pediatric nurse will encounter a patient with disorders of sexual development in his or her career. Cases of disorders of sexual development are challenging due to complexities of diagnosis, gender assignment, uncertain outcomes, treatment options, and psychosocial stressors. This article discusses the evaluation and management of children with disorders of sexual development and the nurse's role as child advocate and family educator.     

Facts and fallacies: the practice doctorate

In the past year there has been continued discussion within professional organizations regarding the emergence of the practice doctorate. This in turn has caused concerns among some nurse practitioners. The purpose of this article is to provide an overview of the practice doctorate, current progress and development of the concept, and the potential impact on practicing pediatric and other nurse practitioners.