Assignment: Advanced Nurse Practice in Reproductive Health Care

Charlene Baja is a 22-year-old G0 P0 L0 presents to the clinic today for burning and discharge. She states her boyfriend recently found out he was positive for chlamydia. She denies any other partners besides him. ?Her medical history is?remarkable for anxiety and depression. ?Her surgical history?is unremarkable. Her social history includes social?alcohol, but she denies tobacco and any recreational drugs.? She has no known drug allergies and takes a multivitamin and Srintec daily for oral contraception. Her health history?reveals that her mother is alive with breast cancer in remission and hypothyroidism. Her paternal grandfather is alive with prostate cancer. Her sister has type 1 diabetes as well. Her father has HTN, diabetes type 2, and hyperlipidemia. ?Charlene has one brother with no medical history.

1. Height 5` 5"?Weight?148?(BMI 24.6),?BP 132/68 P?62
2. HEENT:? WNL
3. Neck: lymph nodes grossly normal
4. Lungs/CV: Chest is clear to auscultation bilaterally, normal respiration, rhythm, and depth upon exam
5. Breast: normal breast exam
6. Abd: WNL
7. VVBSU: WNL
8. Cervix: firm, smooth, yellow watery discharge in large amount present
9. Uterus: RV, mobile,?non-tender
10. Adnexa: WNL

Task

Question A. What other information do you need??
Question B. Has she used or tried any treatments so far?
Question C. When did she find out about her partner`s positive chlamydia status?
Question D. When was her last gyn exam?and what were the results of?the?tests???
Question E. Has she had any STD testing in the past?
Question F. Is she concerned with any other STDs?
Question G. What are your next steps/considerations??
Question H. What education should you provide?
Question I. What treatments are appropriate for Elaine?