What is the primary factor in the initiation of menses? a. ...

[Starlight]

What is the primary factor in the initiation of menses?
 
  a. Height
  b. Age of the girl's mother at menarche
  c. Body weight
  d. Age

Question 2

The client is displaying behaviors that indicate to the nurse that she is in the taking-in phase. Which intervention would be most appropriate to integrate into the client's care at this time?
 
  a. Counseling about parental role transitions
  b. Planned undisturbed periods of rest and sleep
  c. Return demonstration of a baby bath
  d. Teaching contraceptive options

[briezy]

Answer to Question 1

C
Current information supports the importance of body weight in determining the time of menarche. Moderately overweight girls begin menstruation earlier than do those of normal weight. Girls with very low body fat, such as those having anorexia, and girls who participate in strenuous athletics may have delayed menarche. While age is a factor, it is not the most significant factor. Height is not a factor for initiation of menses.

Answer to Question 2

B
During taking-in, the mother wishes to meet her own rest needs. Counseling about parental role transitions and teaching contraceptive options are not appropriate actions for normal taking-in. Return demonstration of a baby bath is part of the taking-hold phase.