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reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 5<br />

CONTENT<br />

Knowledge/Attitudes/Skills<br />

Menstrual History (female clients<br />

only)<br />

A complete menstrual history should<br />

include:<br />

• The date of menarche.<br />

• Frequency and regularity of<br />

menstrual cycles.<br />

Training/Learning Methods<br />

(Time Required)<br />

• Review the Reproductive History<br />

Form (Px Handout 5.1).<br />

5.1<br />

Ask Px, what questions might be<br />

added or deleted<br />

• Date of onset of the most recent<br />

period or bleeding episode.<br />

• An estimate of the number of pads<br />

used each day.<br />

• Whether the adolescent has cramps<br />

or pain, clotting, or symptoms of<br />

dizziness or nausea with menses.<br />

• Whether the adolescent has unusual<br />

vaginal discharge or difficult urination.<br />

Obstetric History (female clients only,<br />

if applicable)<br />

An obstetric history should include:<br />

• Number of children she has.<br />

• Number of times she's been pregnant.<br />

• Her delivery history.<br />

Physical History<br />

A physical history should cover:<br />

• Any current or past physical problems<br />

and their onset, duration, and<br />

progression.<br />

• Whether the client thinks s/he is too<br />

heavy or too thin.<br />

• If the client has questions about how<br />

her/his body is growing.<br />

<strong>Pathfinder</strong> <strong>International</strong><br />

68<br />

Adolescent Curriculum

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