Dietary supplements — DRCOG MCQ

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HardAntenatal CareDietary supplementsDRCOG

A 34-year-old at 8 weeks has no diabetes, antiseizure medication or previous neural-tube-defect pregnancy. Which routine supplement regimen should be confirmed?

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Correct answer: C — Folic acid 400 micrograms plus vitamin D 10 micrograms daily

The best answer is “Folic acid 400 micrograms plus vitamin D 10 micrograms daily”. A standard-risk pregnancy requires folic acid 400 micrograms daily through the first 12 weeks and vitamin D 10 micrograms daily. Higher-dose folic acid is reserved for specified higher-risk circumstances. Vitamin A-containing supplements and cod-liver oil should be avoided because excess retinol can harm fetal development. Antenatal decisions combine gestation, maternal stability, fetal risk and whether care can safely remain in the community. Screening, diagnostic testing and urgent assessment are not interchangeable. The UK pathway should be followed with clear safety-netting whenever symptoms may evolve before the next routine appointment.

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