Discussion Topics, Chapter 3, Anatomy and Physiology of the Reproductive Systems

 

Please choose one subject matter and write a paper using APA format not less than 350 words. Please reference your paper

 

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

Discussion Topic 1: Delayed Onset of Menstruation in Adolescence

A mother brings her 14-year-old daughter, Gloria, to the clinic for a checkup. The mother expresses concern that her daughter hasn’t begun menstruating yet, despite the mother having started her own periods at age 13. The nurse assesses Gloria and finds breast buds and sparse pubic hair, but 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?

The nurse should reassure the mother that it is not unusual for some girls to start menstruating later than others. The onset of menstruation is influenced by a variety of factors, including genetics, nutrition, and overall health. The nurse could explain that the average age of onset for menstruation is around 12 years old, but it can range anywhere from 8 to 16 years old. Furthermore, delayed onset of menstruation is more common in girls who are shorter and lighter in weight than their peers, as well as in those who participate in intense athletic training or have high levels of stress.

b. What information could the nurse give the mother about the onset of menstruation for her daughter?

The nurse could provide the mother with some general information about the onset of menstruation. For example, the nurse could explain that menstruation is a normal part of puberty and signifies that a girl’s reproductive system is maturing. The nurse could also emphasize the importance of good nutrition and overall health, which can play a role in the onset of menstruation. The nurse should encourage the mother to discuss any concerns or questions with her daughter’s healthcare provider, who can provide more individualized information and guidance based on Gloria’s specific health history and developmental stage.

Reference:

American College of Obstetricians and Gynecologists. (2019). Menstruation in girls and adolescents: Using the menstrual cycle as a vital sign. Retrieved from https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/03/menstruation-in-girls-and-adolescents-using-the-menstrual-cycle-as-a-vital-sign