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."
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.
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1. Increasing sodium in the diet. 2. Losing weight. 3. Decreasing calcium intake. 4. Increasing alcohol intake.
What is the purpose of palpation?
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