Author Question: The mother of a 16-year-old female is concerned that even though the teen began menstruating at age ... (Read 50 times)

formula1 · **on:** Jun 25, 2018

The mother of a 16-year-old female is concerned that even though the teen began menstruating at age 14, her menses stopped around 6 months ago. How should the nurse respond to the mother?

1. That's normal for a 16-year-old. That happened to me when I was 16.
2. Have you considered pregnancy?
3. It's probably psychological.
4. Have you noticed any weight loss or changes in her diet and activity level?

Question 2

The nurse is assisting a patient with ways to reduce the severity of the monthly discomfort associated with premenstrual syndrome. What information should the nurse review with this patient?

Select all that apply.
1. Apply ice packs to the lower abdominal region.
2. Practice abdominal breathing.
3. Balance exercise with rest.
4. Increase sodium intake.
5. Restrict caffeine intake.

Madisongo23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
Secondary amenorrhea, which is the absence of menses for at least 6 months in a previously menstruating female, may be caused by anorexia nervosa, bulimia, excessive athletic activity or training, or a large weight loss. Other causes include hormonal imbalances and ovarian tumors. The condition being reported by the parent is not normal. It is inappropriate for the nurse to include potential diagnoses such as pregnancy and psychological concerns in the conversation.

Answer to Question 2

Correct Answer: 2, 3, 5
Treatment plans that the woman with premenstrual syndrome (PMS) may find helpful focus on diet, exercise, relaxation, and stress management. Caffeine restriction reduces irritability. Exercise is beneficial, but rest is also necessary. Techniques for relaxation and stress management include deep abdominal breathing. Heat, not ice, relieves muscle spasms and dilates blood vessels, which increases the blood supply to the pelvis and uterine muscles. Sodium should be restricted to minimize fluid retention.