A 52-year-old woman discusses her menstrual cycles with the nurse. The client states that she still has menses, but that she "never knows when they might begin or end." Which of the following is the most appropriate response by the nurse?
A) "It sounds like you are frustrated with this change; it is a difficult part of life."
B) "Reproduction is no longer possible so that is one thing less to worry about."
C) "We can't say how long this perimenopausal phase might last."
D) "You are in the postmenopausal cycle and should expect further changes."
Ans: C
Perimenopause refers to the several years before menopause when women begin experiencing changes in menstrual cycles. The client doesn't express frustration, nor does she sound like she is "worrying" about reproduction (which still could happen, even with low probability). Menopause typically occurs around the age of 49 to 51 years and postmenopause begins 12 months after last period.
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