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Unplanned pregnancy referral — DFSRH MCQ

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EasyReproductive HealthUnplanned pregnancy referralDFSRH

A 27-year-old woman has a positive pregnancy test after missed pills and says she does not want to continue the pregnancy. She is haemodynamically stable, has no abdominal pain, and is unsure of her last menstrual period. What is the most appropriate management?

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

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Correct answer: A — Discuss options and arrange referral to abortion services

The best answer is “Discuss options and arrange referral to abortion services”. A positive pregnancy test with a request not to continue the pregnancy warrants non-directive discussion of options and prompt referral to abortion services. Uncertain dates are not a reason to delay referral; the service can arrange appropriate assessment. Ulipristal is emergency contraception and does not end an established pregnancy, while antenatal booking or sterilisation should not be imposed in place of the person’s stated request.

Reference: NICE NG140, Abortion care: https://www.nice.org.uk/guidance/ng140