Fetal Pole Measuring 5 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11095
SMLE Question #11095
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 19-year-old primigravida at 13 weeks by LMP presents for her first prenatal visit. For 2 weeks, she has had mild lower abdominal cramping and intermittent dark brown vaginal spotting. The uterus is smaller than expected for dates. Transvaginal ultrasound shows an intrauterine gestational sac with a fetal pole measuring 5 weeks and no fetal cardiac activity. She has no fever, heavy bleeding, or severe pain and prefers to avoid surgery. What is the most appropriate management at this time?
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