A 13-year-old female patient asks the school nurse when her menstrual cycle will start, as she is already developing breasts. What should the nurse include in the response to this patient?
1. The teenager should be referred to a gynecologist for a pelvic examination.
2. The teenager should have started her period by now.
3. Menses will probably start within a few years.
4. The teenager should be tested for hormonal imbalances.
Correct Answer: 3
Amenorrhea is the absence of menstruation. Primary amenorrhea is the absence of menarche by age 16, or by age 14 if secondary sex characteristics fail to develop. It is premature refer the patient for a gynecological exam or for testing for a hormonal imbalance.
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