West Coast EMT Block One Exam

What is an appropriate initial question to ask a 16-year-old female experiencing vaginal bleeding?

1. Inquire about the possibility of pregnancy in private, if possible.

2. Avoid asking questions that she will feel uncomfortable answering.

3. Obtain the majority of your information from one of her parents.

4. Recall that patients in this age group prefer not to be treated as adults.

The correct answer is: Inquire about the possibility of pregnancy in private, if possible.

Asking about the possibility of pregnancy in private is the most appropriate initial question to pose to a 16-year-old female experiencing vaginal bleeding. This question is crucial for several reasons. First, understanding whether the patient could be pregnant helps in assessing the potential causes of the vaginal bleeding, which may be related to pregnancy complications such as a miscarriage or ectopic pregnancy. Additionally, inquiring about pregnancy allows the healthcare provider to tailor their approach and care more effectively. Moreover, asking this question in a private setting creates a more comfortable environment for the young patient, facilitating open and honest communication. Adolescents may feel more at ease discussing sensitive topics away from the presence of parents or guardians, which can encourage them to provide accurate information. The other options do not prioritize the importance of directly addressing potential factors affecting the patient's condition and fail to establish an appropriate level of engagement. Obtaining information primarily from a parent may compromise the adolescent's autonomy and may not yield as accurate or complete a medical history as a direct conversation with the patient. Additionally, assuming that young patients prefer not to be treated as adults can limit the quality of care and communication, which is critical in understanding and managing their health effectively.