3 Hours Of Heavy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11120
SMLE Question #11120
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old G2P1 woman at 15 weeks of gestation presents with 3 hours of heavy vaginal bleeding and crampy lower abdominal pain. She reports passing clots and tissue. Speculum examination shows tissue at the cervical os with ongoing active bleeding, and bimanual examination shows a dilated cervix. Two large-bore IV lines are placed. What is the most appropriate next step in management?
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