An adolescent client is experiencing oligomenorrhea with infrequent periods over the last year. What is the most likely cause of this client's problem?
1. Anovulatory cycles
2. Abnormal uterine lining
3. Polycystic ovarian syndrome
4. Pregnancy
Correct Answer: 1
Rationale 1: Dysfunctional uterine bleeding is common in adolescents and menopausal women and is often associated with anovulatory cycles.
Rationale 2: Abnormal uterine lining would cause dysfunctional uterine bleeding but is not often seen in adolescents.
Rationale 3: Polycystic ovarian syndrome does not cause oligomenorrhea.
Rationale 4: Pregnancy would cause a cessation of periods, not infrequent periods.
Global Rationale: Dysfunctional uterine bleeding is common in adolescents and menopausal women and is often associated with anovulatory cycles. Abnormal uterine lining would cause dysfunctional uterine bleeding but is not often seen in adolescents. Polycystic ovarian syndrome does not cause oligomenorrhea. Pregnancy would cause a cessation of periods, not infrequent periods.
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