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 A 19-year old female presents to your clinic with complaints of nausea and vomiting every morning for the past week.  She admits she has been sexually active with 1 male partners in the past 3 months.  She has never used any form of protection or contraceptive.  She reports she took a home pregnancy test 1 week ago and that it was positive.  She states her last menstrual period was almost 3months ago.   She Lives with parents and one older female sibling in a single-dwelling home.  She is a college student in local private Christian college.  She describes herself as an “A-student” and involved in several extracurricular school activities or athletics.  She reports experimenting with alcohol and cigarettes when she was in junior high school but that “both made her so sick” that she did not continue to use.  Denies illicit drug use in the past or present.  She reports feeling safe in her home.  She’s had a 20-year old boyfriend for the past two months.  She denies history of emotional, sexual, and physical abuse.  She reports she feels safe in her home and when she is with her boyfriend.  FICA assessment reveals that is of Christian faith and belief and that her faith is very important to her.  She attends church on Sunday and is an active member of her college discipleship group.  She holds her faith as essential to her life and desires faith integration into her health care.   

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Ethical dilemma
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