The mother of a 16-year-old female is concerned that even though the teen began menstruating at age 14, her menses stopped around 6 months ago. How should the nurse respond to the mother?
1. "That's normal for a 16-year-old. That happened to me when I was 16."
2. "Have you considered pregnancy?"
3. "It's probably psychological."
4. "Have you noticed any weight loss or changes in her diet and activity level?"
Correct Answer: 4
Secondary amenorrhea, which is the absence of menses for at least 6 months in a previously menstruating female, may be caused by anorexia nervosa, bulimia, excessive athletic activity or training, or a large weight loss. Other causes include hormonal imbalances and ovarian tumors. The condition being reported by the parent is not normal. It is inappropriate for the nurse to include potential diagnoses such as pregnancy and psychological concerns in the conversation.
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