Rubella susceptibility — DRCOG MCQ
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Correct answer: B — Advise MMR vaccination before pregnancy and avoid conception for one month
Advise MMR vaccination before pregnancy and avoid conception for one month is the best answer because the vignette is testing Rubella susceptibility and the recommended approach is consistent with UKHSA Green Book. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Return urgently if pain, heavy bleeding or collapse occurs; Continue breastfeeding with latch support; Attend maternity triage if fetal movements reduce; Take folic acid and vitamin D as recommended would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.
Reference: UKHSA Green Book