An 8-year-old girl presents to her primary care physician at the encouragement of her parents. They have noticed

An 8-year-old girl presents to her primary care physician at the encouragement of her parents. They have noticed that their daughter only wears her brother’s clothing and prefers to spend time with his male friends. She sometimes comments that she “feels different than other girls” and wishes she were a boy. She has started writing her name as Andrew instead of her birth name, Andrea. She tells the physician, “I am not sure if I am a boy or a girl anymore, and it makes me feel confused.” Which of the following is the most appropriate action for the physician to take? Affirming the patient’s exploration of gender development Asking the patient a series of questions from a standardized questionnaire Emphasizing that gender is binary and will become fixed at an older age Recommending that the child participate in activities that are less gender-specific

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