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November 18, 2021

M.L. is a 20-year-old female nursing student who is being seen in the GYN clinic for a yearly physical

General Questions

Case Scenario

M.L. is a 20-year-old female nursing student who is being seen in the GYN clinic for a yearly physical.

Subjective Data

The patient asks about birth control options

States she feels fine physically, no complaints at this time

Enrolled in college for nursing

Has steady boyfriend, 1-year relationship

Sexually active

Lives on campus

Nonsmoker

Exercises 3 times a week

Objective Data

Vital signs: T 37 P64 R 12 BP 104/64

Weight: 135

Height: 5 feet, 3 inches

Last menstrual cycle = 10 days ago

Current birth control method = condoms

Questions

What patient care equipment does the nurse need for this visit?

What personal protective equipment does the nurse or provider need to prepare for this visit?

Describe proper hand hygiene.

What other information needs to be gathered for this patient?

What techniques of physical assessment might be used in this visit?

What teaching should the nurse consider from the information gathered?

APA 7

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