Margaret brought in her 11-year-old daughter Sandy for her well-child exam. Sandy has developed axillary and pubic hair and has been complaining of mild abdominal cramping off and on for 3 days. Margaret also mentions to you that she is concerned about allowing her daughter to participate in a sexuality educational course offered at school.

• What does the evidence say about providing sexuality education at school to children?

• Which approach should you take when taking a sexual history from Sandy? • What anticipatory guidance should you give Sandy about her body changes? • What anticipatory guidance should you give Margaret about teaching Sandy about sex?

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