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Post-caesarean wound infection — DRCOG MCQ

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ModeratePostnatalPost-caesarean wound infectionDRCOG

A 25-year-old woman seven days after caesarean has wound erythema, discharge and temperature 38.2°C. What is the most appropriate management?

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Correct answer: AAssess for wound infection and prescribe suitable antibiotics

Assess for wound infection and prescribe suitable antibiotics is the best answer because the vignette is testing Post-caesarean wound infection and the recommended approach is consistent with NICE NG194. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Repeat the pregnancy test in one week; Request outpatient ultrasound in three months; Start combined hormonal contraception; Arrange routine GP review after the next period 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 NG194