The Public Health Nurse receives a phone call from a 16-year-old girl who asks, "Do I need to have a Pap smear just because I'm sexually active?" What is the nurse's correct response?
1. "Yes, all sexually active females should be screened for both cervical cancer and HPV."
2. "No, you do not need to be screened for cervical cancer until you are 21 years old."
3. "Yes, all women under the age of 29 should be screened for both cervical cancer and HPV."
4. "No, but you will need to begin your screenings for both cervical cancer and HPV when you are 18 years old."
Correct Answer: 2
Rationale 1: Engaging in sexual activity is not an indication for routine cervical cancer or for HPV screening.
Rationale 2: 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend initiating cervical cancer screening at age 21.
Rationale 3: 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend cervical cancer screening without HPV co-testing in women ages 21 to 29.
Rationale 4: 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend initiating cervical cancer screening at age 21.
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