Anaemia screen — DRCOG MCQ

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HardAntenatal CareAnaemia screenDRCOG

At 28 weeks, a pregnant woman reports exertional breathlessness and appears pale. Booking blood tests were normal and she is haemodynamically stable. What test should be arranged first?

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Correct answer: A — Full blood count

The best answer is “Full blood count”. A full blood count assesses anaemia, a common cause of pallor and exertional breathlessness in later pregnancy, and is routinely repeated around 28 weeks. Symptoms still require clinical assessment for cardiopulmonary red flags rather than attributing all breathlessness to anaemia.

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