A female client who has gone through puberty and started ...

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A female client who has gone through puberty and started menstruating without any problems now has cessation of periods after 2 years of normal cycles. Which of the following would indicate a possible cause for this occurrence?
 
  a. Lag in development of secondary sexual characteristics
  b. Overproduction of androgenic hormones
  c. Negative pregnancy test
  d. Clinical diagnosis of primary amenorrhea

Question 2

To evaluate an individual's progression through puberty, which assessment tool would be used during the assessment phase of the nursing process?
 
  a. Bishop score
  b. Tanner staging
  c. Braden score
  d. SOFA score

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Answer to Question 1

ANS: B
An overproduction of androgenic hormones can cause the development of secondary amenorrhea. This client has progressed through puberty, which would indicate that there is no problem with the development of secondary sexual characteristics. If the client had a positive pregnancy test, then menstruation would stop. The signs and symptoms identify the occurrence of secondary amenorrhea.

Answer to Question 2

ANS: B
Tanner staging provides a gender-based criteria approach that defines the physical findings of primary and secondary sex characteristics for children and adolescents during puberty. The Bishop score would be used to evaluate whether a labor client is ready for the induction of labor. The Braden score provides documentation of skin condition relative to potential breakdown and/or complications. The SOFA score is used to evaluate critical care clients who are at risk to develop SIRS or MODS.