This is case of secondary amenorrhea
In any case of secondary amenorrhea the answer to two major questions are essential to arrive at a diagnosis quickly
Hence along with pregnancy testing Nurse Aretha should have also recommended Hormone assays for Prolactin, FSH and LH
High prolactin levels could be due to hypothalamic/pituitary tumours, hypothyroidism, drugs like antidepressants, cocaine, antipsychotics, some cases of PCOD etc
LH:FSH > 3:1.. PCOD
FSH increased, could be due to Turners syndrome
FSH AND LH decreased.. Pituitary failure or hypothalamic failure
Progesterone challenge test may be performed too. A postive test is commonly due to hypothalamic dysfunction or PCOD
In addition to pregnancy testing, what other testing should Nurse Aretha have encouraged Maria to undergo?...
• Identify three nursing activities that Nurse Aretha can carry out to contribute to the prevention of adolescent pregnancy at Belington Middle School Chapter 35: Teen Pregnancy Student Case Studies Aretha R. is a school nurse at Belington Middle School. Late one Friday afternoon Maria H., an eighth grader, comes to the clinic. Maria confides in Nurse Aretha that she thinks she may be pregnant. Two months ago, she had sex with her boyfriend because she wanted to see what...
Aretha is a school nurse at Belington Middle School. Late one Friday afternoon, Maria H, an eighth grader, comes to the clinic. Maria confides in Nurse Aretha that she thinks she may be pregnant. Two months ago, she had sex with her boyfriend, because she "wanted to see what it was like". Since that one and only time, Maria has not had her period. Nurse Aretha encourages Maria to tell her parents, but Maria refuses to tell them anything until...
An important counseling opportunity presents itself when a teen has a pregnancy test result that is negative. Use this time to clarify a desire or disinterest in pregnancy and to empower the client to influence her reproductive future. Which birth control method would you recommend for Maria to use if she agrees that she needs contraception? Explain your answer • Condom only • Birth control pills and condom • Depo-Provera and condom Chapter 35: Teen Pregnancy Student Case Studies Aretha...
Using the book, write another paragraph or two: write 170
words:
Q: Compare the assumptions of physician-centered and
collaborative communication. How is the caregiver’s role different
in each model? How is the patient’s role different?
Answer: Physical-centered communication involves the specialists
taking control of the conversation. They decide on the topics of
discussion and when to end the process. The patient responds to the
issues raised by the caregiver and acts accordingly. On the other
hand, Collaborative communication involves a...