A middle school student comes to the nurse's office concerned about her menstrual flow. What should the nurse include when discussing menstruation with this student? Select all that apply

Question

1. A tub bath is helpful to promote blood flow and reduce cramping.
2. Show a variety of pads and tampons available for the student to use.
3. A fishy odor experienced during menstruation is expected and normal.
4. Demonstrate that the volume of blood lost during menstruation is about 1 to 2 ounces.
5. Wash the hands before and after using any feminine hygiene products for menstruation.

Answer 1

1, 2, 4, 5
Explanation:
1. A long, leisurely soak in a warm tub promotes menstrual blood flow and relieves cramps by relaxing the muscles.
2. If working with teens and preteens, keeping a variety of pads and tampons on hand helps these young girls become familiar with the options available for dealing with menstruation.
3. Conditions such as vaginitis produce a foul-smelling discharge that women often describe as having a "fishy" odor. This is not expected or normal.
4. The average flow is approximately 25 to 60 mL per period.
5. Because of the potential for developing an infection, a woman should wash her hands before inserting a fresh tampon and should avoid touching the tip of the tampon when unwrapping it or before insertion. Hand washing should also occur after using the commode.