Question

1.         A preteen girl has come to the school nurse, crying. After calming the girl down, the nurse discovered she has started her period. A. How should the nurse approach this? B. The child finally admits she does not want to be a girl, but feels she should be a boy. What should the nurse do? C. What nursing diagnoses might the nurse use in this case?	4, 7
2.         The parents of a 10-year-old daughter are very concerned that she has just experienced her first menses. They don’t understand how it can happen so early and are afraid she will get pregnant. They are requesting birth control pills for her. A. How should the nurse approach this with the parents? B. How should the nurse approach this with the daughter? C. What expected outcomes should the nurse strive for?	3, 8
3.         A woman appears extremely frustrated at her prenatal visit. After asking questions, she finally admits her husband is afraid to have intercourse while she is pregnant. A. What can the nurse do to help? B. If the husband refuses to believe that it is okay, what next? C. What is the expected outcome?	1, 7, 8

Answer 1

1) Educate the girl about what a period is and how often period come.

Console her by saying that it is a quiet normal that happens to every girl.

Counsel her about what are the changes that may happens to her body.

Teach her how to use and dispose the pads or tampons.

Tell her to keep track of her periods by using any app or calender or dairy.

2) Try to tell her that being a girl is a blessing. Try to explore everything she have. Try to understand her about the girls only have, motherhood, unique beauty, long hair everything.

Periods are most significant milestone of her life.

3) Nurses should go through the changes in puberty a girl might have. Educate the girl and her family especially mother about her issues and concerns regarding being a girl.

The girl may be emotionally unstable or in a shock of her first period. But it is quet common thing and is not amajor issue.

She might come through a range of physical symptoms like sore breast, pimples, greasy hair. Period pain if the girl encounters is common and can suggest a pain reliever or put a hot water bag on her tummy.

There may be a mood changes seen before or during periods. This can be hard for her or family to cope up with. Giving her more privacy and space around this time is better to deal.