A 17-year-old female is brought to the family practice clinic by her mother, who is worried that her daughter has not yet developed secondary sex characteristics. Which action by the nurse is best?
A.
Assess a family pedigree for genetic influences.
B.
Explain that some girls don't develop until their 20s.
C.
Inform them that the daughter will be tested for estrogen deficiency.
D.
Obtain a urine sample for a pregnancy test.
ANS: C
Estrogen is the primary female hormone and is responsible for the development of secondary sex characteristics. Physical changes associated with puberty usually begin between ages 11 and 13. A 17-year-old female who has not yet developed these features may have an estrogen deficiency. A family pedigree may be beneficial, but not as the first step. A pregnancy test would not illustrate the cause of the problem.
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