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Booking appointment — DRCOG MCQ

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HardAntenatal CareBooking appointmentDRCOG

A recent migrant first contacts a GP at 11+3 weeks after a positive pregnancy test. She has had no antenatal care, needs an interpreter and is unsure of her vaccination and screening history. What should the GP arrange?

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

Reveal the answer and explanation

Correct answer: B — Refer now for maternity booking within two weeks, noting language and additional support needs

Explanation lettering: D = shown as A · E = shown as B · B = shown as C · C = shown as D · A = shown as E

E is correct. NICE offers booking by 10 weeks and, when contact occurs after 9 weeks, a booking appointment within 2 weeks if possible; language, migration and other support needs should be identified rather than becoming barriers. A makes ultrasound a prerequisite and delays risk assessment. B treats a missed target as a reason for further delay. C makes primary-care testing a gate to maternity access. D postpones screening and support well beyond useful windows. Early information on supplements, smoking, alcohol and urgent symptoms should be provided at referral, with accessible communication and interpreter arrangements.

Reference: NICE NG201: Antenatal care—recommendations: https://www.nice.org.uk/guidance/ng201/chapter/recommendations