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Early pregnancy anaemia — DRCOG MCQ

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HardEarly PregnancyEarly pregnancy anaemiaDRCOG

A woman has prolonged heavy bleeding after miscarriage, is pale and tachycardic, and feels faint on standing. What is the immediate priority?

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Correct answer: A — Begin resuscitation and arrange emergency gynaecology assessment

The best answer is “Begin resuscitation and arrange emergency gynaecology assessment”. Pallor, tachycardia and postural symptoms with heavy bleeding suggest significant haemorrhage. Airway, breathing and circulation, venous access, blood tests including crossmatch, resuscitation and urgent gynaecological assessment take priority over a single outpatient investigation. Full blood count, coagulation studies and crossmatch are important, but they occur within simultaneous emergency management rather than before clinical stabilisation.

Reference: NICE NG126: Ectopic pregnancy and miscarriage: https://www.nice.org.uk/guidance/ng126/chapter/recommendations