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

Choice A reason: A gradual increase in height and weight between ages 12 and 13 is expected during adolescence due to normal growth and pubertal development. The documented weight gain is proportional to height increase and does not indicate an abnormal finding requiring provider notification. Choice B reason: Frequent rapid blinking without evidence of eye irritation, infection, or allergies is unexpected. This behavior may indicate a motor tic or a neurologic or psychiatric condition and warrants further evaluation by the provider to determine the underlying cause. Choice C reason: The onset of menstruation around age 12 to 13 is developmentally appropriate. Irregular menstrual cycles during the first year after menarche are common as the hypothalamic–pituitary–ovarian axis matures. Mild cramping managed with over-the-counter medication is also expected and does not require reporting. Choice D reason: Frequent throat clearing in the absence of respiratory infection or allergies is unexpected. Similar to rapid blinking, it may represent a vocal tic and should be reported for further assessment to rule out tic disorders or other neurologic conditions. Choice E reason: The blood pressure values, while showing an increase from age 12 to 13, remain within expected ranges for adolescents and reflect normal physiologic changes associated with growth and development. This finding does not require provider notification.