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Miscarriage safety-netting — DRCOG MCQ

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ModerateEarly PregnancyMiscarriage safety-nettingDRCOG

A 37-year-old woman has a confirmed early intrauterine pregnancy and light bleeding with no pain. What would you advise?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Advise return urgently for increasing pain, heavy bleeding or collapse

Advise return urgently for increasing pain, heavy bleeding or collapse is the best answer because the vignette is testing Miscarriage safety-netting and the recommended approach is consistent with NICE NG126. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Consider safer non-oestrogen contraception; Seek same-day care if fever or systemic symptoms develop; Keep a symptom diary before review; Continue breastfeeding with latch support would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.

Reference: NICE NG126