The nurse is examining an adolescent female and notes no pubic ...

[brutforce]

The nurse is examining an adolescent female and notes no pubic hair on the pubis area. Based on this data, which action by the nurse is appropriate?
 
  1. Ask the client if she is menstruating.
  2. Examine the client for breast buds.
  3. Report the findings to the healthcare provider.
  4. Document the findings as abnormal.

Question 2

The community health nurse is preparing a presentation concerning the sexual health of adolescent females. The objectives of Healthy People 2020 are being used as guidelines.
 
  When planning this presentation, which information will the nurse plan to include?
  1. Increase the number of teens who are using oral contraceptives.
  2. Increase the number of teens who utilize relationship-counseling services.
  3. Increase the number of teens who are tested for HIV.
  4. Increase the number of teens who understand their reproductive functions.

[ong527]

Answer to Question 1

Correct Answer: 4
According to Tanner's Maturation Stages in the female, the findings in this situation are not normal for the adolescent female client. The adolescent female should have fine, sparse hair beginning at the labia and rising up the pubis. Abnormalities may be indicative of endocrine pathology and need to be reported to the healthcare provider for follow-up. Potentially related factors will need to be investigated. Subjective data related to menstruation are relevant to the situation. The presence or absence of menstrual history will aid in the determination of hormonal function. The presence or absence of breast buds will aid in the confirmation of the maturity of secondary sexual characteristics.

Answer to Question 2

Correct Answer: 3
The goals of Healthy People 2020 seek to increase the proportion of adolescents who abstain from sexual intercourse or use condoms if sexually active and to increase the percentage of adolescents who have been tested for HIV. There are no provisions to dictate the use of oral contraceptives. Relationship counseling services are not included in the Healthy People 2020 objectives. The understanding of reproductive functions is not a direct objective of Healthy People 2020.

[brutforce]

TYSM

[bigsis44]

Excellent