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Summative Assessment: Diverse Ethical Management
Haley Basurto
University of Phoenix
NRP 563
Professor Beard
12/08/2025
, 2
Summative Assessment: Diverse Ethical Management
For an adolescent undergoing her first gynecological exam, it is important to tailor the
visit to her individual needs and comfort level. The exam typically begins with a thorough
medical and sexual history, including questions about menstrual cycles, sexual activity,
contraception, and any symptoms such as pain or abnormal bleeding. (Bansode et al., 2023). The
provider should create a supportive environment by explaining each step, addressing her
concerns, and ensuring privacy.
General physical assessment such as vital signs, height, weight, and overall health
evaluation to establish a baseline. (CDC, 2024). External genital inspection and visual inspection
of the vulva and perineum for any abnormalities, irritation, or lesions. A speculum and bimanual
exam are only performed if clinically warranted, such as for symptoms or if the patient requests
STI screening or contraception. (Bansode et al., 2023). If the patient is not sexually active or
expresses discomfort, these components can often be deferred. Breast exam education on self-
breast examination may be provided, but a formal breast exam is not always required unless
there are specific concerns.
Laboratory screening or testing for sexually transmitted infections (STIs) and pregnancy
may be discussed and offered based on the patient’s history and risk factors. Throughout the
visit, patient education should focus on normal anatomy, menstrual health, safe sexual practices,
and the importance of routine gynecological care. The provider should encourage questions,
offer reassurance, and respect the patient's autonomy and confidentiality, especially regarding
sensitive topics like sexual activity and contraception. (Bansode et al., 2023).
Summative Assessment: Diverse Ethical Management
Haley Basurto
University of Phoenix
NRP 563
Professor Beard
12/08/2025
, 2
Summative Assessment: Diverse Ethical Management
For an adolescent undergoing her first gynecological exam, it is important to tailor the
visit to her individual needs and comfort level. The exam typically begins with a thorough
medical and sexual history, including questions about menstrual cycles, sexual activity,
contraception, and any symptoms such as pain or abnormal bleeding. (Bansode et al., 2023). The
provider should create a supportive environment by explaining each step, addressing her
concerns, and ensuring privacy.
General physical assessment such as vital signs, height, weight, and overall health
evaluation to establish a baseline. (CDC, 2024). External genital inspection and visual inspection
of the vulva and perineum for any abnormalities, irritation, or lesions. A speculum and bimanual
exam are only performed if clinically warranted, such as for symptoms or if the patient requests
STI screening or contraception. (Bansode et al., 2023). If the patient is not sexually active or
expresses discomfort, these components can often be deferred. Breast exam education on self-
breast examination may be provided, but a formal breast exam is not always required unless
there are specific concerns.
Laboratory screening or testing for sexually transmitted infections (STIs) and pregnancy
may be discussed and offered based on the patient’s history and risk factors. Throughout the
visit, patient education should focus on normal anatomy, menstrual health, safe sexual practices,
and the importance of routine gynecological care. The provider should encourage questions,
offer reassurance, and respect the patient's autonomy and confidentiality, especially regarding
sensitive topics like sexual activity and contraception. (Bansode et al., 2023).
