Discussion Topics, Chapter 3, Anatomy and Physiology of the Reproductive Systems
Discussion Topics Learning Objective(s)
1. A mother brings her 14-year-old daughter, Gloria, to the clinic for a checkup. The mother voices concern that her daughter hasn’t begun menstruating yet: “I was 13 years old when I got my first period.” The nurse assesses Gloria and finds breast buds and sparse pubic hair. There is no evidence of axillary hair. Gloria’s height is 4 ft 11 in, an increase of approximately a half inch since last year.
a. How should the nurse respond to this mother?
b. What information could the nurse give the mother about the onset of menstruation for her daughter?
1, 2
2. A 41-year-old woman comes to the health care facility for a routine physical examination. “I guess I’ll be going through ‘the change’ soon,” she says. “I really dread this time. I’ve heard so many horror stories about how awful you feel. Maybe I should just plan to hide in a room by myself somewhere.”
a. What areas would the nurse need to address with this client?
b. How should the nurse respond to her? 1, 2
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a. The nurse should respond to the mother by acknowledging her concern and explaining that the onset of menstruation can vary greatly among young girls. The nurse can reassure the mother that it is not uncommon for girls to start menstruating between the ages of 9 and 16, and that some girls may take longer to start than others. The nurse can also explain that the presence of breast buds and sparse pubic hair indicates that Gloria is going through puberty and that menstruation will likely follow soon.
b. The nurse could give the mother some general information about the onset of menstruation, such as the fact that it typically occurs between the ages of 9 and 16, but can occur as early as age 8 or as late as age 18. The nurse could also explain that the timing of menarche (the first menstrual period) is influenced by factors such as genetics, nutrition, and overall health. The nurse can reassure the mother that it is important to continue monitoring Gloria’s development and that they can discuss any concerns or questions at future appointments.
a. The nurse would need to address several areas with this client, including the physical and emotional changes that occur during menopause, the management of symptoms, and the importance of maintaining overall health and wellness. The nurse may also need to address any fears or concerns the client has about menopause, and provide emotional support as needed.
b. The nurse should respond to the client in a supportive and informative manner. The nurse can acknowledge the client’s concerns and fears, but also provide reassurance that menopause is a natural and normal part of life. The nurse can explain that while menopause can be challenging for some women, there are many options available for managing symptoms and maintaining health and wellness. The nurse can also encourage the client to ask questions and express any concerns or fears she may have, and provide resources for additional support and information.
