A 13-year-old female patient asks the school nurse when her ...

[abern]

A 13-year-old female patient asks the school nurse when her menstrual cycle will start, as she is already developing breasts. What should the nurse include in the response to this patient?
 
  1. The teenager should be referred to a gynecologist for a pelvic examination.
  2. The teenager should have started her period by now.
  3. Menses will probably start within a few years.
  4. The teenager should be tested for hormonal imbalances.

Question 2

A 25-year-old patient has been experiencing anovulatory dysfunctional uterine bleeding and is concerned about maintaining her fertility. About which therapies should the nurse instruct this patient?
 
  Select all that apply.
  1. oral contraceptives
  2. progestin therapy
  3. therapeutic D&C
  4. endometrial ablation
  5. iron replacement therapy

[dajones82]

Answer to Question 1

Correct Answer: 3
Amenorrhea is the absence of menstruation. Primary amenorrhea is the absence of menarche by age 16, or by age 14 if secondary sex characteristics fail to develop. It is premature refer the patient for a gynecological exam or for testing for a hormonal imbalance.

Answer to Question 2

Correct Answer: 1, 2, 5
Oral contraceptives can be used to regulate uterine bleeding in women when the bleeding is anovulatory. Progesterone also may be prescribed to regulate uterine bleeding. Oral iron supplements may be prescribed to replace iron lost through menstrual bleeding. Therapeutic D&C would not be an initial therapy for this condition. Endometrial ablation would destroy the patient's fertility.

[abern]

Thanks for the timely response, appreciate it

[jackie]

Excellent