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Please Read the Clinical Scenario, and Then Answer the Question

question 26

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Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
Suzanne is a pregnant 25-year-old woman with a known HIV infection. This is her first child. She comes into your community clinic for a 20-week checkup. Her HIV was first diagnosed by a screening tool at a clinic when she was 18 years old, and has remained largely asymptomatic. Per her report, she has been very compliant with her antiretroviral therapies. In fact, the father of her child is not HIV positive. She comes in today with lots of questions and concerns about her unborn child.
-Suzanne knows that she acquired HIV from a previous sexual partner.What is the primary mode of transmission of HIV?


Definitions:

Source-Oriented Medical Records

A type of medical record keeping where information is organized according to the source that provided the information, such as lab reports, radiology, and physician notes, kept in separate sections.

Social History

An account of a person's past experiences, relationships, and environment, often collected for medical or sociological purposes.

Assessment Section

A division or unit within an organization responsible for evaluating or measuring certain criteria or performance.

SOAP Format

An acronym for Subjective, Objective, Assessment, and Plan; a method used in health care documentation to organize patient information.

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