Chickenpox exposure — DRCOG MCQ

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EasyAntenatal CareChickenpox exposureDRCOG

A 25-year-old woman at 18 weeks has household exposure to chickenpox and cannot recall previous infection. What would you advise?

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Correct answer: B — Arrange varicella-zoster IgG testing promptly

Arrange varicella-zoster IgG testing promptly is the best answer because the vignette is testing Chickenpox exposure and the recommended approach is consistent with RCOG Green-top Guideline 13. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Continue breastfeeding with latch support; Return urgently if pain, heavy bleeding or collapse occurs; Delay hormonal contraception for five days after ulipristal; Avoid pregnancy for one month after live vaccination would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.

Reference: RCOG Green-top Guideline 13