A female client who has gone through puberty and started menstruating without any problems now has cessation of periods after 2 years of normal cycles. Which of the following would indicate a possible cause for this occurrence?
a. Lag in development of secondary sexual characteristics
b. Overproduction of androgenic hormones
c. Negative pregnancy test
d. Clinical diagnosis of primary amenorrhea
ANS: B
An overproduction of androgenic hormones can cause the development of secondary amenorrhea. This client has progressed through puberty, which would indicate that there is no problem with the development of secondary sexual characteristics. If the client had a positive pregnancy test, then menstruation would stop. The signs and symptoms identify the occurrence of secondary amenorrhea.
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