Every screen in NU577's Unit 2 well-woman note is matched to a stated age of 27, with a pelvic exam deliberately omitted and an HPV vaccine decision shared. Searches like "nu 577 unit 2 assignment example", "nu577 unit 2 sample" and "nu577 unit 2 example" land here.
Well-Woman Visit Note at 27: A Screening Table Decided by Age, and No Pelvic Examination Because None Was Indicated
[Student Name]
Purdue University Global
NU577: NP II Clinical - Women's Health Focus
Unit 2 Well-Woman Visit Note
[Instructor Name]
[Date]
The patient is a composite; values and dates are bracketed.
Subjective
Reason for visit: preventive visit. Ms. [J.], 27, a physical therapist. Menstrual history: regular [28]-day cycles, light with her [levonorgestrel] IUD, placed three years ago. Sexual history: one new male partner in the past four months; condoms sometimes; no symptoms. No pelvic pain, discharge or abnormal bleeding. Screening: PHQ-2 negative; GAD-7 [3]; partner violence screen negative; AUDIT-C [2]. Last cervical cytology at [25], normal.
Objective
Blood pressure [112/70]; BMI [24]. General examination: well; thyroid normal; heart and lungs normal; abdomen soft. No pelvic examination; see plan.
Assessment
Healthy adult at a preventive visit.
Plan: Screening Table
1. Cervical cancer. Source: USPSTF, 2018. Why at 27: in her twenties the interval for cytology is three years (US Preventive Services Task Force, 2018), and her last sample was at 25. Status: due next year, at 28.
2. Chlamydia and gonorrhea. Source: USPSTF, 2021. Why at 27: routine screening is recommended for sexually active women 24 and younger, and for older women at increased risk, such as those with a new partner (US Preventive Services Task Force, 2021). She has passed the age at which screening is routine, so the new partner is the reason the test is ordered. Status: urine NAAT sent today.
3. HIV. Source: USPSTF, 2019. Why at 27: one-time screening from 15 to 65. Status: done at [24], negative; repeat offered given the new partner, accepted.
4. Hepatitis C. Source: USPSTF, 2020. Why at 27: one-time screening from 18 to 79. Status: done at [24], negative.
5. Blood pressure. Status: 112/70 today; recheck in [three] years.
6. Depression and anxiety. Status: screens negative today.
7. Intimate partner violence. Status: screen negative today.
8. Unhealthy alcohol use. Status: AUDIT-C 2, negative.
9. Screening pelvic examination. Source: USPSTF, 2017. The Task Force found insufficient evidence to weigh the benefits and harms of a screening pelvic examination in asymptomatic women (US Preventive Services Task Force, 2017), and ACOG advises that pelvic examinations be performed when indicated by history or symptoms, with shared decision-making otherwise (American College of Obstetricians and Gynecologists [ACOG], 2018). Status: not performed, by shared decision; she has no symptoms, and her IUD strings can be checked by her at home or at a visit if she has concerns.
Plan: Immunizations
1. Influenza: given today.
2. Tdap: current, [last dose at 22].
3. HPV: her series was not completed as a teen. From 27 through 45, HPV vaccination is a shared clinical decision; discussed, with more benefit given a new partner; [she chose to start the series].
4. COVID-19: per current recommendation.
Plan: Counseling
1. Folic acid 0.4 mg daily is recommended for all women who could become pregnant, even with a highly effective method, because many pregnancies are unplanned and neural tube development occurs before most women know they are pregnant.
2. Condoms for STI protection with a new partner, alongside the IUD.
3. The IUD is effective for [eight] years from placement; replacement date recorded.
What Was Deliberately Not Done
No routine blood count, lipid panel or urinalysis was ordered, because none is recommended for a healthy 27-year-old without risk factors, and tests without an indication invite false positives. No breast examination was performed as a screening test; she was told to report any change she notices. Each of these is a choice, recorded so that the next clinician does not read an absence as a gap.
Return
Next preventive visit in one year, when cervical cytology is due. Results of STI and HIV tests by portal within [one] week.
References
American College of Obstetricians and Gynecologists. (2018). ACOG Committee Opinion No. 754: The utility of and indications for routine pelvic examination. Obstetrics & Gynecology, 132(4), e174-e180. https://doi.org/10.1097/AOG.0000000000002895
US Preventive Services Task Force. (2017). Screening for gynecologic conditions with pelvic examination: US Preventive Services Task Force recommendation statement. JAMA, 317(9), 947-953. https://doi.org/10.1001/jama.2017.0807
US Preventive Services Task Force. (2018). Screening for cervical cancer: US Preventive Services Task Force recommendation statement. JAMA, 320(7), 674-686. https://doi.org/10.1001/jama.2018.10897
US Preventive Services Task Force. (2021). Screening for chlamydia and gonorrhea: US Preventive Services Task Force recommendation statement. JAMA, 326(10), 949-956. https://doi.org/10.1001/jama.2021.14081
How this NU577 Unit 2 example is structured
The note follows standard SOAP order, but its weight sits in the plan, where the screening table does the work a paragraph cannot. Each row is justified by age or by a risk named in the history. Cervical screening shows due next year under the three-year cytology interval for her age group. Testing for chlamydia and gonorrhea is ordered because of the new partner, since routine screening without risk ends at twenty-four. One-time HIV and hepatitis C screens are recorded as done. A row for the screening pelvic examination records the USPSTF I statement and a shared decision not to perform one. Immunizations follow: influenza given, Tdap current, and the HPV vaccine discussed under shared clinical decision-making, which applies from twenty-seven through forty-five. Folic acid supplementation is recommended even with an IUD in place, and the reason is given.
Get an NU577 Unit 2 example written to your instructions
Give the age and history of the patient your NU577 prompt describes, or ask for an invented one, plus whatever note template the site or section requires. The sample note matches each screen to that age and cites its source, with deferred screens shown alongside. A first note costs nothing and arrives in 24-48h. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU577 Unit 2 questions, answered
Should a well-woman note always include a pelvic examination?
Not when the patient has no symptoms and no sample is due. The USPSTF judged the evidence on screening pelvic exams insufficient, and ACOG supports a shared decision. If your note omits it, record the discussion. If your site performs one routinely, record what was explained, the consent given, who chaperoned and how she tolerated it, all before any finding.
How do I decide which screens belong in the table?
Start from the age in the header, then add screens triggered by risks in the history. The Women's Preventive Services Initiative chart and USPSTF recommendations are the usual sources. Include screens not done today with their status, because graders look for evidence that each was considered. Keep the row order consistent so a reviewer can find each decision quickly.
Can the note use a real patient from my rotation?
Your submitted notes come from your own encounters, and their details stay with you and the clinical record. A sample works from a patient who never existed to show structure: how the screening table is laid out and how decisions are justified. Apply that format to your own documentation within your site's privacy rules.