The mother of a 13-year-old girl is concerned because her daughter has not started menstruating yet. The girl developed breast buds and started her height spurt at 12 years of age. Which of the following statements would be the most appropriate response from the nurse?
a. Usually, girls start menstruating when they develop breast buds; an endocrine evaluation might be warranted.
b. Everyone is different; it will happen when it happens.
c. Based on when the breast buds first appeared, she should starting menstruating around the age of 14.
d. She will not start menstruating until her breasts are of adult size and contour.
Answer: c. Based on when the breast buds first appeared, she should starting menstruating around the age of 14.
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