When performing personal care on a middle-aged woman, the nurse observes that the client has very little pubic and axillary hair. Which is the nurse's best action?
a. Ask the client if she has less pubic hair now than 5 years ago.
b. Ask the client the date of her last men-strual period.
c. Examine the client's scalp hair for texture and thickness.
d. Draw blood for hormonal immune assays.
A
Although pubic hair thickness varies from person to person, loss of pubic hair is associated with gonadotropin deficiency. The nurse needs to determine whether this manifestation is normal for this client. A middle-aged woman may be postmenopausal, which would not give the nurse helpful information. Examining the client's scalp also would not yield helpful information. Di-agnostic studies should not be undertaken without further assessment.
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