Difficulty: Medium
Average Score: 70%
Simulated
The adolescent female comes to the school nurse of an intermediate school and tells the nurse she thinks she is pregnant. During the interview, the client states her father is the babyÔÇÖs father. Which intervention should the nurse implement first?
Correct answer
B
Rationale
Alleged paternal incest requires immediate Child Protective Services notification as a mandatory reporter. Rape kit, parental contact, or clinic referral follow after ensuring safety.