Mary is a 12-year-old female client who presents to the clinic for her middle school wellness visit.

Mary is a 12-year-old female client who presents to the clinic for her middle school wellness visit.

History

Mary does not have any medical or surgical history. She does not currently take any prescribed or over the counter medication. She is allergic to amoxicillin resulting in a rash. Her family history consists of ovarian cancer- maternal aunt and Type II Diabetes Mellitus – paternal grandmother.

She currently lives with her mother, father, and 15-year-oldbrother. Subjective and Objective findings are unremarkable.

Immunization History includes the following:

•             Birth – Hep B dose1

•             Age 2 months – Hep B dose 2, DTap dose 1, IPV dose 1, Hib dose 1, PCV7 dose1

•             Age 4 months – DTap dose 2, IPV dose 2, Hib dose 2, PCV7 dose2

•             Age 6 months – Hep B dose 3, DTap dose 3, Hib dose 3, PCV7 dose3

•             Age 12 months – MMR dose 1, IPV dose 3, PCV7 dose4

•             Age 18 months – Dtap dose 4, Varicella dose 1, Hep A dose1

•             Age 5 years – MMR dose 2, Varicella dose 2, IPV dose 4, DTap dose5

Questions

As a provider, you will need to be prepared to answer questions about HPV vaccine from parents/guardians and patients. Therefore, based on the provided resourcesand your understanding of immunization recommendations, How can you explain why HPV is recommended and at whatage(s).

How can you answer the questions in a sensitive way but stillprovide recommendations for thevaccine?