The home care nurse is working with a 40-year-old developmentally delayed adult who has had no gynecologic well-woman care since her teens. What screenings are recommended for this client?
1. STI screening and Pap smear
2. Clinical breast exam, Pap smear, and serum calcium levels
3. Clinical breast exam, Pap smear, and mammogram
4. Pap smear and vaccination update
3
Rationale:
1. A Pap smear is recommended, but STI screening might or might not be indicated, based on whether the client is sexually active and using contraception or not. Sexually transmitted infections are more common in teens and those in their early 20s.
2. A clinical breast exam and Pap smear are recommended gynecologic examinations for women, but a serum calcium level is not part of a routine gynecologic routine physical exam. When any part of an answer is incorrect, the entire answer is incorrect.
3. A clinical breast exam, Pap smear, and mammogram are recommended gynecologic screenings for 40-year-old women.
4. A Pap smear is a recommended gynecologic screening for an adult woman, but a vaccination update is not considered part of gynecologic care.
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