Folic acid standard dose — DFSRH MCQ
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Correct answer: B — Offer MMR vaccination and avoid pregnancy for one month
The best answer is “Offer MMR vaccination and avoid pregnancy for one month”. A non-immune person should be offered MMR vaccination before pregnancy and advised to avoid conception for one month because MMR is a live vaccine. It is not given during pregnancy. Folic acid remains important but does not mitigate congenital rubella risk, so vaccination and reliable short-term contraception should be coordinated. The correct decision follows only after combining the stated timing, competing risks, patient preference and follow-up requirements. The alternative actions are reasonable in neighbouring clinical situations, but they do not fit all of the discriminating facts in this stem. The cited UK guidance governs both the immediate action and the safety-netting that follows.
Reference: UKHSA, MMR vaccination programme guidance: https://www.gov.uk/government/publications/mmr-for-all-general-leaflet/mmr-for-all-general-guide