A nurse is assessing an adolescent female who began menstruating 2 years ago. She has grown 1/2 inch in the last 2 years but has not gained any weight. What action by the nurse is most appropriate?
a. Ask the teen to provide a 24-hour diet recall.
b. Talk to the teen about healthy dietary practices.
c. Reassure the teen she will have a growth spurt soon.
d. Collaborate with the provider for endocrine testing.
ANS: B
During the adolescent growth spurt, teens achieve approximately 20% to 25% of their final height. This occurs during the time span ending about 2 years after the onset of menses. Since this teen has already reached that mark with little growth, the nurse should assess the teen's knowledge and practice of healthy eating. Poor eating habits are common with this age group. A 24-hour diet recall can be part of this discussion, but should encompass more than just the recall. The teen most likely will not have another growth spurt later. Endocrine testing is not warranted at this point.
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