The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9. The nurse interprets this to indicate that the child is experiencing:

A. Behavioral therapy: Behavioral therapy focuses on modifying specific maladaptive behaviors through reinforcement and conditioning techniques. While effective for older children, it may not be suitable for a 4-year-old who lacks the cognitive maturity to understand behavioral interventions fully.

B. Play therapy: Play therapy is most appropriate for young children because it allows them to express feelings, fears, and experiences through play rather than words. It helps build trust, reduce anxiety, and provides insight into the child’s emotional state, especially following trauma such as abuse.

C. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) relies on a child’s ability to identify and modify thought patterns, which typically develops later in childhood. A 4-year-old’s limited abstract thinking makes CBT less effective at this stage.

D. Family therapy: Family therapy can help improve communication and relationships within the family system but may not directly address the child’s need for a safe, nonverbal way to express trauma-related emotions and build trust with the therapist.

A. Amenorrhea: Uterine fibroids are more commonly associated with menorrhagia (heavy bleeding) or metrorrhagia (irregular bleeding) rather than amenorrhea. Fibroids cause increased uterine lining surface area and vascular congestion, leading to excessive rather than absent menstrual flow.

B. Chronic pelvic pain: Chronic pelvic pain or a feeling of pelvic pressure is a classic symptom of uterine fibroids. The enlarging fibroids can compress surrounding structures, causing discomfort, lower abdominal fullness, and sometimes radiating pain to the lower back or thighs.

C. Upper back pain: Fibroids are located in the uterus, within the pelvic cavity, and are unlikely to cause upper back pain. Pain from fibroids typically presents in the lower abdomen or pelvis due to localized pressure.

D. Diarrhea: Gastrointestinal symptoms like diarrhea are not typically associated with fibroids. If present, bowel symptoms are more likely due to large fibroids exerting pressure on the rectum, leading to constipation rather than increased bowel motility.