A 28-year-old woman, 18 weeks pregnant, presents to her GP two days after her 5-year-old son developed varicella. She is unsure of her immunity status and is asymptomatic. Which of the following is the most appropriate initial management step?
A. Observe closely for symptoms and treat with acyclovir if rash develops.
B. Reassure her that the risk is low given she is asymptomatic.
C. Administer varicella vaccine.
D. Obtain urgent varicella serology and administer VZIG if non-immune.
E. Administer varicella-zoster immunoglobulin (VZIG) as soon as possible.
Mark this as a high-quality question
Mark this as a poor-quality or problematic question