Maternal sepsis in labour — DRCOG MCQ

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EasyLabourMaternal sepsis in labourDRCOG

A 31-year-old woman in labour has temperature 38.6°C, pulse 122/min and uterine tenderness. What is the most appropriate management?

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Correct answer: A — Start sepsis assessment and urgent obstetric review

Start sepsis assessment and urgent obstetric review is the best answer because the vignette is testing Maternal sepsis in labour and the recommended approach is consistent with NICE NG235; NICE NG51. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Advise rest and hydration at home; Book a non-urgent community midwife appointment; Arrange routine review in six weeks; Arrange routine antenatal clinic review would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG235; NICE NG51