AANP Family Nurse Practitioner (FNP) Certification ExamAssessmentEasy
A 28-year-old female presents for a well-woman exam. She reports no significant medical history, takes no medications, and has no allergies. Her last menstrual period was 3 weeks ago. She is sexually active with one male partner and uses condoms inconsistently. Her mother had breast cancer at age 55. Which of the following is the most important health promotion recommendation for this patient at this visit?
- AMammography screening every 2 years
- BDiscussion of more effective contraception options
- CDaily folic acid supplementation
- DHPV vaccination series
Show answer & explanationAnswer & explanation
Correct answer: B. Discussion of more effective contraception options
Given the patient's inconsistent condom use and being sexually active, discussing more effective contraception options is the most immediate and impactful health promotion recommendation to prevent unintended pregnancy. While other options are important, this addresses an acute risk.
Why the other options are wrong
- A. Mammography screening is not recommended for average-risk women under 40.
- C. Daily folic acid is recommended for women of childbearing age, but the most pressing issue here is preventing unintended pregnancy due to inconsistent contraception.
- D. HPV vaccination is important, but given her age and sexual activity, she may have already been exposed, and contraception risk is more immediate.
Contraception Counseling
Providing information and options for preventing unintended pregnancy, tailored to a patient's sexual activity, health status, and preferences.
- Essential for sexually active individuals.
- Addresses unintended pregnancy and sometimes STIs.
- Includes various methods: hormonal, barrier, IUDs, permanent.
Memory trick: ABC of Well-Woman Care: Address Risks, Boost Health, Choose Wisely