For reasons of anticipatory guidance, nurses should be aware that menarche appears earlier in some ethnic groups than others and in the ethnic group of African-American girls menarche likely to appear first.
Menarche is the beginning of menstrual cycle in girls. It occurs between the ages of 10 to 16. It results the changes within the hormonal levels that begin to be secreted in increasing amounts from the ovaries and adrenal glands.
Anticipatory guidance is given by the health care supplier to help parents or guardians within the understanding of the expected growth and development of their kids. It is necessary to teach girls and their caretakers concerning the standard progression of puberty and development of the menstrual cycle.
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