SOLVED5162

The nurse practitioner is caring for a 15 yo patient with a chief complaint of no menarche to date. She denies being sexually active. Her physical exam reveals appropriate development of secondary sexual characteristics. TSH, FSH, LH and prolactin lab results are in normal range. Urine dip and urine HCG are negative. All of the following are appropriate management for her condition EXCEPT: 10 options: Explain there is no concern about menses until age 18 Proceed with progesterone challenge Ultrasonography (US)/pelvic Start oral contraception
SCIENCE
HEALTH SCIENCE
NURSING

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