Well-child visit (adolescent) Quiz: Ace Your Exams

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A 16-year-old girl comes to the pediatrician in autumn for a well-child visit accompanied by her parent. There are no changes to her health since the last visit, but they disclose that she wants to become sexually active and would like to discuss contraception options. She eats a variety of foods and rarely consumes sugary drinks. Her periods are regular, and her last menstrual period was one week ago. Recommended vaccinations prior to this visit are up-to-date, and her last hearing test was at age 12. She had a normal complete blood count and lipid panel at age 11. Temperature is 37.0°C (98.6°F), pulse is 72/min, respiratory rate is 14/min, blood pressure is 110/68 mmHg, weight is 128 pounds, height is 64 inches, and BMI is 22 kg/m2. On physical examination, she is pleasant and engaging in communication. Cardiac, pulmonary, and abdominal exams are unremarkable. In addition to performing a chaperoned genital examination and discussing safe sexual practices and contraceptive options, which of the following is most appropriate to include at this visit? 

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