Pregnancy test after miscarriage — DRCOG MCQ
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Correct answer: B — Advise a urine pregnancy test after three weeks
For first-trimester miscarriage managed expectantly, current NICE guidance recommends follow-up with a home urine pregnancy test 3 weeks after the miscarriage if bleeding and pain have resolved, indicating likely completion. If the test is positive, she should return for review to assess for retained pregnancy tissue and to exclude molar or ectopic pregnancy. Safety-net advice about severe pain, heavy bleeding or collapse is important, but the specific routine advice tested here is to perform a urine pregnancy test after 3 weeks.
Reference: NICE Guideline NG126: Ectopic pregnancy and miscarriage: diagnosis and initial management, recommendation 1.5.8, last updated 2023. https://www.nice.org.uk/guidance/ng126/chapter/recommendations