A nurse is collecting data from an adolescent. The nurse is reviewing the assessment findings. Select the 2 findings that are unexpected and should be reported to the provider.

Choice A reason: Weight gain between ages 12 and 13 is expected due to normal growth and pubertal development. The increase in weight corresponds appropriately with an increase in height, indicating normal physical maturation rather than an abnormal or concerning finding. This does not require reporting to the provider. Choice B reason: Frequent rapid blinking is unexpected in an adolescent when not associated with eye irritation, allergies, or infection. This behavior may suggest a motor tic or an underlying neurologic or psychiatric condition. Because it represents a deviation from typical developmental findings, it should be reported to the provider for further evaluation. Choice C reason: The presence of menstrual cycles in early adolescence is developmentally appropriate. Irregular cycles are common during the first year after menarche due to hormonal immaturity. This finding is expected and does not indicate a need for provider notification in the absence of severe symptoms. Choice D reason: Frequent throat clearing without signs of respiratory infection or allergies is unexpected. Similar to rapid blinking, this behavior may represent a vocal tic. The combination of motor and vocal behaviors raises concern for a tic disorder, making this finding important to report to the provider. Choice E reason: Blood pressure changes during adolescence often reflect normal physiologic growth. In the absence of values indicating hypotension or hypertension, blood pressure variations alone are not unexpected and do not warrant immediate reporting.