2 Days Of Light in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#10940
SMLE Question #10940
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 40-year-old G9P6 woman, 9 weeks pregnant by last menstrual period, presents with 2 days of light vaginal spotting and mild lower abdominal cramps. She has no passage of tissue, dizziness, or syncope. Speculum examination shows scant blood; the cervix is closed. The uterus is mildly enlarged and nontender. Transvaginal ultrasound shows a single intrauterine gestational sac with an embryo measuring 5 weeks by crown–rump length and no fetal cardiac activity detected. She is Rh positive. What is the most appropriate next step in management?
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