A 16-year-old girl asks, "Do I need to have a Pap smear just because I'm sexually active?" What is the nurse's correct response?

1. "No, you do not need to be screened for cervical cancer until you are 21 years old."
2. "Yes, all sexually active females should be screened for both cervical cancer and human papilloma virus (HPV)."
3. "Yes, all women under the age of 29 should be screened for both cervical cancer and human papilloma virus (HPV)."
4. "No, but you will need to begin your screenings for both cervical cancer and human papilloma virus (HPV) when you are 18 years old."


1
Explanation:
1. 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend initiating cervical cancer screening at age 21.
2. Engaging in sexual activity is not an indication for routine cervical cancer or for HPV screening.
3. 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend cervical cancer screening without HPV cotesting in women ages 21 to 29.
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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