EXERCISES: COUNSELING AND INFORMED CONSENT
EXERCISE 2.1: Pregnancy options counseling and screening
Purpose: The following exercise is designed to review pregnancy options counseling. Consider role-playing the following scenarios.
1. One of your patients presents with an unexpected positive pregnancy test during clinic or in the ED. How would you approach this?
4. While you are explaining the protocol for a medication abortion to a patient, they mention that their boyfriend “absolutely cannot find out about this pregnancy.” What concerns does this raise and how can you explore the situation further? What assurances can you give them, what support may you want to offer them?
6. You have a 19-year old patient who has been to the clinic for several abortions in the past. Their first abortion was when they were was 14. They are always accompanied by an older male relative. You are concerned they may be the victim of sex trafficking. What questions might you ask? What should you do if you find out they are the victim of trafficking?
Purpose: Discuss what you might do or what you might say to the person in each of the following situations in the context of a uterine aspiration for abortion or early pregnancy loss.
1. As you enter the exam room you hear the patient’s partner criticizing them for “acting stupid” and telling them angrily to “just shut up.” The partner is looking at the wall and ignores your efforts to introduce yourself.
4. You are about to see a 22-year-old G0 patient with a mild motor and cognitive disability. They arrive in the clinic in a wheelchair with a parent. During intake, the parent states that they would like to discuss birth control that will assist them with periods.