Betty is a 20 year old single black female. She has never been pregnant, and she does not have a history of any health conditions. Her family history includes HTN on her father’s side (PGF and F). Her MGM had breast cancer, and is now deceased. She does smoke, but states that she plans to quit when she stops being so “stressed out from school”. She presents in the health clinic complaining of a foul-smelling vaginal discharge. Which questions would you ask to elicit thorough information about her history?

What is the likely cause of the discharge?

Which tests do you anticipate?

Treatment options?

Teaching for Betty?

Betty has now graduated from college, and plans to marry the man of her dreams. She is 24 years old, and has not developed any new medical conditions. She is not ready for children yet, but wants to explore birth control options now that she is monogamous. Explain Betty’s options.

Now Betty presents to the clinic in tears. She forgot to replace her vaginal birth control ring, and realizes that she ovulated last night just after having intercourse with her husband. Betty is upset, because she is not ready to have a baby. She is starting a new internship, and wanted to delay childbearing for a little longer. What are Betty’s options?

Betty discussed her options with her husband, Frank, and they both agreed that they would just “wing it” and see what happens this month. Frank grew up in the Catholic Church in Honduras, and he believes that any medication that impedes implantation might be a violation of his religious practice. What is the appropriate nursing response?

Now it has been 2 months, and Betty has not had a period. She presents in the office requesting a pregnancy test. In which way does a pregnancy test detect pregnancy?

Betty’s test is positive. GTPAL? _____________
Her last menstrual period was 3/10/08. What is her EDC?___________________