In patient workups where pregnancy is possible, which is the best practice?

• A. Pregnancy testing should always be considered or performed
• B. Pregnancy testing is not necessary unless indicated
• C. Pregnancy testing only for symptomatic patients
• D. Pregnancy testing three times per visit

Answer: (A)

When pregnancy is possible, verify pregnancy status before moving forward with tests, treatments, or imaging that could affect a fetus or be unsafe in pregnancy. This approach is essential because a patient may be unaware of pregnancy, especially in the early weeks when there are few or no symptoms. A simple pregnancy test (urine or serum hCG) is quick, reliable, and informs management—avoiding the use of teratogenic medications, unnecessary imaging considerations, or procedures that could pose fetal risk, and guiding necessary obstetric precautions if pregnancy is confirmed.

Tests should be considered or performed broadly in reproductive-age patients whenever pregnancy could influence care; awaiting symptoms or suggesting testing only “if indicated” or requiring multiple checks per visit risks missing an early or asymptomatic pregnancy.