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the nurse is taking a history of a female client who is requesting a ro…

Question

the nurse is taking a history of a female client who is requesting a routine female exam. which assessment finding requires follow-up?

menstruation onset at age 9.
contraceptive method includes condoms only.
menstrual cycle occurs every 35 days.
\black-out\ after one drink last night on a date.

Explanation:

Analyze clinical significance of each finding

  • Menstruation onset at age 9 is within the normal range for menarche (typically ages 8–15).
  • Using condoms only for contraception is a personal choice and does not indicate an immediate clinical emergency.
  • A menstrual cycle occurring every 35 days is within the normal physiological range (21–35 days).
  • A "black-out" after only one drink on a date is highly abnormal and strongly suggests potential drug-facilitated sexual assault (e.g., date rape drugs), requiring immediate safety, forensic, and psychological evaluation.

Answer:

  • Menstruation onset at age 9.
  • Contraceptive method includes condoms only.
  • Menstrual cycle occurs every 35 days.
  • "Black-out" after one drink last night on a date. (Correct answer)