The patient is a 32-year-old first time mom who presents to…

The patient is a 32-year-old first time mom who presents to her family practice at 38 weeks gestation.  She reports that she plans to exclusively breastfeed but has heard “horror stories” about how painful it is when the milk comes in.  What would be considered anticipatory guidance for this concern?

A 17-year-old sexually active female presents with amenorrhe…

A 17-year-old sexually active female presents with amenorrhea and new onset of bloody vaginal spotting.  She also complains of left shoulder pain.  On exam her L adenexa is tender and she has positive cervical motion tenderness (CMT).  What testing should the NP order next?