The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?
a. They should take low to moderate calcium to avoid hypercalcemia.
b. They have strong bones because of the athletic training.
c. Pregnancy can occur in the absence of menstruation.
d. A diet high in carbohydrates accommodates increased training.
ANS: C
Sexually active teenagers, regardless of menstrual status, need to consider contraceptive precautions. Increased calcium (1500 mg) is recommended for amenorrheic athletes. The decreased estrogen in girls with the female athlete triad, coupled with potentially inadequate diet, leads to osteoporosis. Diets high in protein and calories are necessary to avoid potentially long-term consequences of intensive, prolonged exercise programs in pubertal girls.
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