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Posted: June 14th, 2023
A mother brings her 14-year-old daughter, Gloria, to the clinic for a checkup. The mother voices concern that her daughter hasn’t begun menstruating yet: “I was 13 years old when I got my first period.” The nurse assesses Gloria and finds breast buds and sparse pubic hair. There is no evidence of axillary hair. Gloria’s height is 4ft11 in, an increase of approximately a halfinch since last year.
a. How should the nurse respond to this mother?
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b. What information could the nurse give the mother about the onset of menstruation for her daughter?
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2. A 41-year-old woman comes to the health care facility for a routine physical examination. “I guess I’ll be going through ‘the change’ soon,” she says. “I really dread this time. I’ve heard so many horror stories about how awful you feel. Maybe I should just plan to hide in a room by myself somewhere.”
a. What areas would the nurse need to address with this client?
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b. How should the nurse respond to her?
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a. The nurse should respond to the mother by explaining that the age of onset for menstruation can vary widely and that it is not uncommon for girls to begin menstruating as late as age 16. The nurse should also reassure the mother that Gloria's breast development and sparse pubic hair are signs that she is entering puberty and that menstruation is likely to occur in the near future.
b. The nurse could explain to the mother that the onset of menstruation is influenced by a number of factors, including genetics, nutrition, and overall health. The nurse could also suggest that the mother encourage her daughter to maintain a healthy diet and exercise regularly, as these can help support normal development and menstruation.
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a. The nurse would need to address the client's concerns about menopause, including the physical and emotional changes that can occur. The nurse should also discuss strategies for managing these symptoms and maintaining overall health during this transition.
b. The nurse should respond to the client by acknowledging her concerns and explaining that menopause is a normal part of the aging process. The nurse should also reassure the client that there are many effective treatments available to manage menopause symptoms and that she does not need to "hide in a room" during this time. Finally, the nurse should encourage the client to discuss any specific concerns or questions with her healthcare provider.
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