The adolescent patient reports to the clinic nurse that her period is late but that her home pregnancy test is negative. Which response is most appropriate?
1. "This means you are not pregnant."
2. "You might be pregnant, but it might be too early for your home test to be accurate."
3. "We don't trust home tests. Come to the clinic for a blood test."
4. "Most people don't use the tests correctly. Did you read the instructions?"
Correct Answer: 2
Rationale 1: Although this might be true, this is not the best response because the pregnancy may not yet be detectable through use of a urine pregnancy test.
Rationale 2: This is an accurate and appropriate response. Most home pregnancy tests have low false positive rates, but the false negative rate is slightly higher. Repeating the test in one week is recommended.
Rationale 3: This statement is not therapeutically worded. Additionally, this statement is not true because home pregnancy tests are quite simple to use and quite accurate. A clinic pregnancy test is usually a urine test. Blood tests are more invasive and more expensive.
Rationale 4: This response does not address the issues presented in the patient's statement.
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