امرأة بحمل خارج الرحم صغير غير منفجر، ومستقرة، وستأخذ ميثوتريكسات. أي تعليم صحيح؟

A stable woman with a small unruptured ectopic pregnancy will receive methotrexate. Which teaching is correct?

1. Avoid folic acid, NSAIDs and alcohol, and follow up hCG
2. Take high-dose folic acid to strengthen the pregnancy
3. Conceive again immediately within two weeks of treatment
4. No follow-up tests are needed after the injection

Answer: A) Avoid folic acid, NSAIDs and alcohol, and follow up hCG. Methotrexate antagonises folate, so folate, NSAIDs and alcohol are avoided; hCG is followed to zero, pregnancy deferred about 3 months, and severe pain reported immediately.