Skip to 0 minutes and 4 seconds NURSE: Hi, Kate, so lovely to see you again. And you’re 10 weeks pregnant. Congratulations.
Skip to 0 minutes and 8 seconds KATE: Thank you.
Skip to 0 minutes and 9 seconds NURSE: How’s everything going this time around?
Skip to 0 minutes and 11 seconds KATE: Yeah, OK, I guess. I mean it’s really different being pregnant with a toddler around.
Skip to 0 minutes and 16 seconds NURSE: Yeah.
Skip to 0 minutes and 17 seconds KATE: I guess I feel like I’m tired a lot of the time. I don’t really get a chance have a break. Tyler sleeps really well at night. But during the day, he just has his one nap, and then I’m trying to clean the house or catch up on the paperwork for the business.
Skip to 0 minutes and 28 seconds NURSE: Oh gosh, you sound so busy. It must be really challenging to try to find time to rest.
Skip to 0 minutes and 33 seconds KATE: Yeah, it is.
Skip to 0 minutes and 34 seconds NURSE: Oh. Hey, do you mind if we have a little chat about your weight?
Skip to 0 minutes and 39 seconds KATE: Yeah OK.
Skip to 0 minutes and 40 seconds NURSE: Sure, look I not can be a really sensitive issue, but it’s a really important one, all right? Now, do you know how much you weighed before you became pregnant?
Skip to 0 minutes and 49 seconds KATE: 78 or 79, I think. I mean, I’m already back into a lot of my maternity care, so it’s a good thing and get rid of it.
Skip to 0 minutes and 55 seconds NURSE: OK, good. All right, would you mind if we take your weight today so that we can have a weight measurement?
Skip to 1 minute and 1 second KATE: That’s fine.
Skip to 1 minute and 2 seconds NURSE: Thank you. OK, Kate, if I could just get you to hop on the scale for me, please. Thank you. That’s great. That’s all I need. Thanks, Kate. I know being weighed is not always easy. I do want to have a look at your weight history. Yeah, and it does show that you got down to 79 kilos after you gave birth to Tyler. So if I look at the way that I’ve just taken, it shows me that you’ve put on five kilograms during this pregnancy, which is a lot faster than the last one. Do you know why it’s so important to monitor weight during pregnancy?
Skip to 1 minute and 40 seconds KATE: I think it’s just to stop women gaining too much weight and getting gestational diabetes, is that right?
Skip to 1 minute and 45 seconds NURSE: Yeah, spot on. Yeah, and we also know that women that gain a lot of weight during pregnancy find it a lot harder to lose afterwards.
Skip to 1 minute and 52 seconds KATE: Am I at risk of any of that?
Skip to 1 minute and 54 seconds NURSE: No, not necessarily. And that’s why it’s important for us to keep you and bubs healthy and to monitor your weight. Now, do you think that your weight gain might have any impact on your baby?
Skip to 2 minutes and 4 seconds KATE: I don’t know. I mean, I thought it was supposed to gain weight.
Skip to 2 minutes and 7 seconds NURSE: Yeah, you are. And that’s our job to make sure we monitor you as you’re gaining the weight. And these days, we have got a much better understanding of why it’s important to monitor weight gain during pregnancy. And we have some wonderful resources to help us to do that. I’ve got some pamphlets here that you can take home that will help you to monitor your own weight. Have a look at that. Do you think that you feel confident to take that home and do a few of the things?
Skip to 2 minutes and 31 seconds KATE: Yeah, I can give it a go.
Skip to 2 minutes and 32 seconds NURSE: Yeah OK, good.
Scenario B: Nurse
Watch the nurse discuss the topic of weight and fertility with her patient, Kate.
While you’re watching the scenario, reflect on the nurse’s approach to the consultation with Kate, and note any aspects you think could be improved.
To help guide your reflection, go to Downloads to access a Consultation analysis template which you can complete while watching the scenario.
Now that you’ve watched the scenario, within the Comments, consider sharing your thoughts on the nurse’s consultation.
How does the nurse’s consultation style in this scenario compare to the style used in Scenario: A?
Does she work through the three phases of consultation that were described in Scenario A: Nurse and how does her approach differ from Scenario A?
Also consider reading and commenting on contributions made by other learners. You can also ‘Like’ comments or follow other learners throughout the course.
RACGP members, please engage deeply in the course
In order to meet the RACGP QI&CPD Program requirements to receive 40 Category 1 points, RACGP members must complete all parts of this course including discussions, being sure to make careful and considered responses to all of the talking points listed in this step, and throughout the course.
Because reflective and exploratory discussions are critical to learning, once you’ve shared your own thoughts, respond to at least one comment from another learner for each discussion point.
Doing so will allow you to build on your own ideas on how you can apply new approaches to your professional practice.
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