The school sexual health clinic nurse has female adolescent students waiting to be seen. Which student should be seen first?

Question

1. 17-year-old adolescent with a history of child abuse
2. 14-year-old adolescent whose 17-year-old sister is pregnant
3. 15-year-old adolescent who reports using condoms regularly
4. 16-year-old adolescent who had a chlamydial infection treated 2 weeks ago

Answer 1

4
Explanation:
1. Although adolescents with a history of abuse are more likely to become pregnant than are their peers who have not experienced abuse, too little information is given about this client to determine risk for pregnancy. This client is not the top priority.
2. Although this student is at risk for becoming pregnant because her sister is experiencing an adolescent pregnancy, it is not known whether this client is sexually active. This student is not the top priority.
3. Condom use will decrease the risk of becoming pregnant. This client is a low priority.
4. This client is the top priority. Having had a chlamydial infection, a sexually transmitted infection, indicates that the client is sexually active and not using a barrier method of birth control. This client is at risk for pregnancy and another STI.