Crown–rump Length Consistent in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11082
SMLE Question #11082
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old G2P1 woman at 10 weeks of gestation had light vaginal spotting 2 weeks ago that has resolved. She has no abdominal pain and no current bleeding. Pelvic examination shows a closed cervix, and the uterus is smaller than expected for gestational age. Transvaginal ultrasound shows an intrauterine pregnancy with crown–rump length consistent with 7 weeks and absent fetal cardiac activity on two scans 7 days apart. She is stable and prefers medical management over expectant or surgical options. What is the most appropriate management?
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