Ages 13-18 Years: Evaluation and Counseling

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Ages 13-18 Years
     Laboratory and other tests


□ Development
□ High-risk sexual behaviors (number of partners, exchange sex for drugs or money)
□ Preventing unwanted/unintended pregnancy
     Postponing sexual involvement
     Contraceptive options, including emergency contraception, and LARC
□ Sexually transmitted infections—barrier protection
□ Internet/phone safety

Fitness and Nutrition

□ Physical activity
□ Dietary/nutrition (including eating disorders and obesity)
□ Multivitamin with folic acid
□ Calcium intake

Psychosocial Evaluation

□ Suicide: depressive symptoms
□ Interpersonal/family relationships
□ Sexual orientation and gender identity
□ Personal goal development
□ Behavioral/learning disorders
□ Emotional, physical, and sexual abuse by family or partner
□ School experience
□ Peer relationships
□ Acquaintance rape prevention
□ Bullying

Cardiovascular Risk Factors

□ Family history
□ Hypertension
□ Dyslipidemia
□ Obesity
□ Diabetes mellitus
□ Personal history of preeclampsia, gestational diabetes, or pregnancy-induced  hypertension

Health/Risk Assessment

□ Hygiene (including dental), fluoride supplementation
□ Injury prevention
     Exercise and sports safety
     Weapons, including firearms
     Occupational hazards
     Recreational hazards
     Safe driving practices (seat belt use, no distracted driving or driving while under the influence of substances)
     Helmet use
□ Skin exposure to ultraviolet rays
□ Tobacco, alcohol, other drug use
□ Piercing and tattooing

American College of Obstetricians and Gynecologists
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