Explain your approach would vary if the patient were 10 years old and had her menses for only 6 months?

You are a nurse practitioner and you have 3 different patient scenarios. How would you approach these topics/scenarios?

1. A 12-year-old female has had secondary amenorrhea for 3 months. She started her menses at 9 years old and has had a 28-day cycle for the past 2 years. What do you want to do and why? Explain your approach would vary if the patient were 10 years old and had her menses for only 6 months?

2. After several discussions with her clinician, Erica decides to start taking birth control pills as her contraceptive method. She is dispensed 4 packs with verbal and written instructions. Erica, however, is also given advice by her girlfriend on how to take the pills. Whenever Erica begins her period, she stops taking the pill and does not start a new pack until the Sunday after her bleeding stops. In 6 months, Erica is pregnant.

3.Judy refuses any form of hormonal contraception. She is afraid of needles and therefore does not want Depo. She does not want to gain weight or be changed by the pill. The thought of something in her arm is freaky, no Norplant is out. She is consistently given condoms and vaginal contraceptive film by the clinic. Several months later, Judy is pregnant. She hadnt been using condoms. She just shrugs, I didnt think that I would really get pregnant, I had chlamydia; doesnt that make you infertile?

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