A young adolescent client is concerned about experiencing severe ...

[elizabeth18]

A young adolescent client is concerned about experiencing severe cramps with menstruation. What should the nurse respond to this client?
 
  A) This is not normal but is something that can be treated.
  B) You have cramps because you started your periods too early.
  C) Cramps are seen in those who just start having periods and will become less severe as you get older.
  D) You need to see a gynecologist for a pelvic examination.

Question 2

The nurse suspects a young adult client is experiencing primary dysmenorrhea. Which did the nurse assess in this client?
 
  Select all that apply.
  A) Bleeding between menstrual periods
  B) Headache
  C) Fatigue
  D) Diarrhea
  E) Scant menses

[patma1981]

Answer to Question 1

Answer: C

Primary dysmenorrhea occurs without specific pelvic pathology and is most often seen in girls who have just begun menstruating, becoming less severe after the mid-20s. The client does not need to see a gynecologist for a pelvic examination. Cramps are normal in the age range. The client is an early adolescent, which is not too early to start having periods.

Answer to Question 2

Answer: B, C, D

Manifestations of primary dysmenorrhea include headache, diarrhea, and fatigue in addition to vomiting, breast tenderness, and pain radiating to the lower back and thighs. Scant menses is a symptom of a hormone imbalance. Bleeding between menstrual periods is a characteristic of metrorrhagia.

[elizabeth18]

Wow, this really help

[Jossy]

Thanks for the timely response, appreciate it