Prolapse pessary care — DRCOG MCQ
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Correct answer: C — Advise regular review and prompt assessment for bleeding or discharge
Advise regular review and prompt assessment for bleeding or discharge is the best answer because the vignette is testing Prolapse pessary care and the recommended approach is consistent with NICE NG123. 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; 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 NG123