A 14-year-old adolescent female presents to the nurse practitioner because she is concerned that she has not started to menstruate. History is noncontributory, and the physical examination findings are within normal limits. She is in Tanner stage 3 for sexual development. Based on these findings, the nurse practitioner should:
refer the adolescent to an adolescent gynecologist for further evaluation.
obtain follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels.
obtain a serum human chorionic gonadotropin (hCG) level.
reassure and educate the adolescent
The Correct Answer is D
Rationale:
A. Referral to a specialist is not immediately necessary when physical development is normal and there are no other concerning findings.
B. Measuring FSH and LH is indicated if there are signs of delayed puberty or abnormal secondary sexual characteristics, which are absent in this case.
C. hCG testing is used to assess for pregnancy, which is not relevant in a 14-year-old with normal pubertal development and no history suggesting pregnancy.
D. Reassurance and education are appropriate, as menarche typically occurs around Tanner stage 3–4, and variation in timing is normal. Most healthy adolescents who have normal physical development and no other symptoms will begin menstruating by age 15.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Poisoning is a common unintentional injury in preschool-aged children and a significant cause of morbidity and mortality.
B. Drowning is a leading cause of death in this age group and considered an unintentional injury.
C. Physical abuse is not classified as an unintentional injury; it is intentional and a form of child maltreatment.
D. Motor vehicle crashes, including pedestrian and passenger injuries, are among the leading causes of death in preschool-aged children.
Correct Answer is D
Explanation
Rationale:
A. A heart rate of 90–110 beats per minute is below the normal range for a newborn and would be considered bradycardia.
B. 115–140 beats per minute falls within the normal resting range for infants, especially when asleep.
C. 150–170 beats per minute can be normal during activity or crying in a newborn.
D. Tachycardia in infants younger than 1 month is defined as a heart rate greater than 180 beats per minute at rest. Persistent tachycardia may indicate underlying conditions such as infection, dehydration, anemia, or cardiac disorders and warrants further evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.