A 19-Year-Old Hispanic Lady Arrives at the Clinic Complaining of Nausea

A 19-year-old Hispanic lady arrives at the clinic complaining of nausea and stomach pain. She has difficulty describing her pain and usually gestures to her lower abdomen. When asked if she is pregnant or sexually active, the patient nods her head no. When asked when she had her last menstrual cycle, she nods and responds "now." She is a single woman who moved to the United States a few months ago. The physical examination reveals mild abdominal discomfort with no rebound or guarding and stable vital signs. The patient is sent home after being diagnosed with food poisoning. She is rushed to the emergency department by ambulance later that day after having significant stomach pain and loss of consciousness. A diagnosis of ruptured ectopic pregnancy is made.  Which of the following interventions would most likely have prevented the delay in diagnosis?

A) Asking the patient whether she feels comfortable discussing sexual issues
B) Assessing the patient's cultural health beliefs
C) Assessing the patient's current social situation
D) Calling family members to obtain additional history
E) Determining whether the patient needs language assistance

Correct Answer:

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