A 12-year-old female pediatric patient experienced menarche 3 months ago. Her mother voices concern to the pediatric office nurse regarding the irregularity of her daughter's menstrual cycle. What is the nurse's best response?
a. "Worrying is not the answer."
b. "I will talk to the pediatrician about a gynecological referral."
c. "I can only discuss this with your daughter."
d. "Early cycles are often irregular."
ANS: D
Early cycles are often irregular and may be anovulatory. Regular cycles are usually established within 6 months to 2 years of the menarche. In an average cycle, the flow (menses) occurs every 28 days, plus or minus 5 to 10 days.
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