A 23-year-old female client who has never been pregnant comes to the clinic due to an irregularity in her menstrual periods. The nurse midwife obtains the client’s history and performs a thorough physical assessment. Which of the following details in client’s history is not considered normal and should be further evaluated?
Explanation
Answer: C - The client’s menstrual blood loss per period, which is about 100 mL, is not considered normal and should be further evaluated. On average, menstrual blood loss per period is between 60 and 80 mL. Blood loss greater than 80 mL is called menorrhagia, and it may be due to an imbalance between the estrogen and the progesterone. Menarche, or the onset of the first menstrual period, commonly occurs between 12 and 13 years. Menstrual cycles usually last between 21 and 35 days. The duration of menstrual flow is normally between 3 and 7 days.
