When assessing a newborn infant's genitalia,the nurse notes that the genitalia are somewhat engorged.The labia majora are swollen,the clitoris looks large,and the hymen is thick.The vaginal opening is difficult to visualize.The infant's mother states that she is worried about the labia being swollen.The nurse should reply:

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It is normal for a newborn's genitalia to be somewhat engorged.A sanguineous vaginal discharge,or leukorrhea,is normal during the first few weeks because of the maternal estrogen effect.During the early weeks,the genital engorgement resolves,and the labia minora atrophy and remain small until puberty.

When Assessing a Newborn Infant's Genitalia,the Nurse Notes That the Genitalia