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You're scheduling a young girl for a school physical. Her family migrated from Africa several years ago. You have known her since her arrival in

You're scheduling a young girl for a school physical. Her family migrated from Africa several years ago. You have known her since her arrival in school, and although she is very quiet, and has some difficulty with English, she works hard and is an excellent student. During the initial interview she invites you to a big party at her house this weekend. She tells you it is a special party just for her, a coming out party. As you listen, you come to understand she is talking about clitoridectomy, a social convention in some cultures, though to be part of raising the girl properly, and a way to prepare her for adulthood and marriage. As she describes the process it is clear she is looking forward to it; she refers to it as making her "clean" and "beautiful" by removing body parts that are "male" and "unclean." As a health care provider, you know that there are no known benefits to the procedure and definite potential harm. In fact, it is generally known as Female Genital Mutilation. What you should do? Choose only one from the choices below. Explain your answer briefly. 1. Forget it, who are you to judge another culture? "Different stroke for different folks" 2. Tell her this is not done in this place. 3. Inform Social Services (potentially remove the child from home) 4. Call the police as this is child abuse 5. Encourage her to have the process done in the hospital, so that at least the procedure would be done under sanitary conditions. 6. Advise her parents against it, but as this is a cultural matter, do not refer it to others

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