A 17-year-old girl presents to family medicine clinic requesting oral contraceptives and explicitly requests confidentiality from her parents. Vital signs are normal (BP 118/76, HR 78, RR 16, Temp 98.6°F). She denies sexual abuse and reports being in a consensual relationship. Urine pregnancy test is negative. The physician practices in a state permitting minors to independently consent to contraceptive services. She takes no other medications. Which of the following is the most appropriate next step?

  1. A)Refuse to prescribe until parental consent is obtained
  2. B)Prescribe the contraceptives and maintain confidentialityGABARITO
  3. C)Prescribe the contraceptives and inform the parents for safety
  4. D)Delay prescribing until the patient turns 18
  5. E)Refer the patient to a pediatric gynecologist

Explicação

In states where minors can legally consent to contraceptive services, the physician should provide the requested care and maintain confidentiality. Mature minor doctrine and specific state statutes allow minors to consent to reproductive health services withou... Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE