Talk about ethical principle/dilemma from the following case, and describe the challenges that this issue poses for practicing Advanced Practice Nursing. give specific examples

Talk about ethical principle/dilemma from the following case, and describe the challenges that this issue poses for practicing Advanced Practice Nursing. give specific examples.

Alexandera a 16-year-old female. She is at the office today for abdominal pain and nausea/vomiting.

Alexandra’s mother asks you to step outside the exam room for a moment. She expresses concern that Alexandra has not been acting like herself lately.

You go back in the room to examine Alexandra and ask if she is sexually active. She states that she is nervous that you will tell her mom. You reassure her that this information is confidential. She states that she is having sex with her boyfriend and when you ask, she says that she isn’t using any birth control. She doesn’t really remember when her last period was because it isn’t regular so she doesn’t keep track.

You tell Alexandra that you need to do a urine pregnancy test. The test comes back positive,  You ask if she would like for her mom to come in the room so that you can discuss this with both of them. She adamantly tells you that she does not want her mom to know. You talk with her about getting an appointment with an OB-GYN and discuss the importance of talking with her mom about the pregnancy when she is ready. She takes the information you give her and leaves the exam room.

A few hours later, you receive a phone call from Alexandra’s mom asking what you found during the exam. She says that Alexandra seems very upset and she does not say why. As Alexandra’s healthcare provider, what do you say to her mom?