Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?
1. 17-year-old, has never had a menstrual cycle
2. 16-year-old, had regular menses for four years, but has had no menses in four months
3. 19-year-old, regular menses for five years that have suddenly become painful
4. 14-year-old, irregular menses for one year, experiences cramping every cycle
4
Rationale:
1. This is primary amenorrhea, or the lack of menses.
2. Secondary amenorrhea is the term used when a client has had regular cycles that cease.
3. Secondary dysmenorrheal is the sudden onset of pain and discomfort with menses.
4. Primary dysmenorrhea is when menstruation has been painful from the first menstrual cycle, and consistently continues to be painful each month.
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