A 12-year-old girl asks the nurse about an increase in clear ...

[plus1]

A 12-year-old girl asks the nurse about an increase in clear white odorless vaginal discharge. What response should the nurse give?
 
  a. This may mean a yeast infection.
  b. This is normal before menstruation starts.
  c. This is caused by an increase in progesterone.
  d. This is possibly a sign of a sexually transmitted infection.

Question 2

The nurse is preparing a pamphlet for parents of adolescents about guidance during the adolescent years. What suggestion should the nurse include in the pamphlet?
 
  a. Provide criticism when mistakes are made or when views are different.
  b. Use comparisons with older siblings or extended family to promote good outcomes.
  c. Begin to disengage from school functions to allow the adolescent to gain independence.
  d. Provide clear, reasonable limits and define consequences when rules are broken.

[cloud]

Answer to Question 1

ANS: B
Early in puberty, there is often an increase in normal vaginal discharge (physiologic leukorrhea) associated with uterine development. Girls or their parents may be concerned that this vaginal discharge is a sign of infection. The nurse can reassure them that the discharge is normal and a sign that the uterus is preparing for menstruation. It is caused by an increase in estrogen, not progesterone.

Answer to Question 2

ANS: D
An anticipatory guideline to include when teaching parents of adolescents is to provide clear, reasonable limits and have clear consequences when rules are broken. Parents should avoid criticism when mistakes are made and should allow opportunities for the teen to voice different views and opinions. Parents should try to avoid comparing the teen with a sibling or extended family member. Parents should try to be more engaged in the teen's school functions to show support and unconditional love.