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Hyperemesis and contraception quick start — DFSRH MCQ

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HardReproductive HealthHyperemesis and contraception quick startDFSRH

A 22-year-old with an unplanned 7-week pregnancy requests abortion referral. Severe vomiting makes her doubt she can retain oral contraception, and she wants a method in place as soon as possible. Which plan best integrates both needs?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Arrange abortion care and plan immediate non-oral contraception around treatment

The best answer is “Arrange abortion care and plan immediate non-oral contraception around treatment”. Abortion referral should proceed without contraceptive coercion or delay. Because vomiting threatens oral-method reliability and she wants rapid protection, an implant or appropriately timed intrauterine method can be discussed within the abortion pathway. Emergency contraception does not treat an established pregnancy, and contraception need not await a later negative test when pregnancy status and procedure timing are known.

Reference: NICE NG140, Abortion care: https://www.nice.org.uk/guidance/ng140/chapter/Recommendations