A 14-year-old girl asks the school nurse why her periods are so ...

[rmenurse]

A 14-year-old girl asks the school nurse why her periods are so irregular. What is the best response by the nurse?
 
  A.
  All young girls have irregular periods.
  B.
  Don't worry; this is totally normal.
  C.
  Estrogen levels are still pretty low.
  D.
  You should be seen by your physician.

Question 2

A family practice nurse is providing anticipatory guidance to an 11-year-old boy. What information about puberty should the nurse plan to include?
 
  A.
  Boys start puberty about 2 years earlier than girls.
  B.
  Circulating estrogen may cause breast enlargement.
  C.
  Testosterone production is the last stage of puberty.
  D.
  The first sign of puberty is testicular enlargement.

[macmac]

Answer to Question 1

ANS: C
As a girl begins menstruating, estrogen levels are usually insufficient to stimulate ovulation, and the menstrual periods are generally unpredictable and irregular. As the ovaries mature, regular ovulation and menses are established. Telling the student that all young girls have irregular periods and that her complaint is normal are both poor choices, because they do not give the girl adequate information. She does not need to be seen by her physician for this complaint.

Answer to Question 2

ANS: D
Testosterone secretion causes testicular enlargement, which is the first sign of pubertal changes in males. Girls start puberty about 2 years earlier than boys. Testosterone production causes the first signs of puberty, so saying that this is a late occurrence is incorrect. Breast enlargement usually does not occur in males despite the presence of circulating estrogen.

[rmenurse]

Thank you

[macmac]

No problemo