Vaginal Bleeding in Obstetrics & Gynecology — 25yo Woman | General Gynecology | SMLE Q#11195

SMLE Question #11195

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 25-year-old woman, gravida 2 para 0, presents at 10 weeks’ gestation with vaginal bleeding and lower abdominal cramping. Transvaginal ultrasound shows an empty uterus with a thin endometrial stripe and no retained products of conception. She smokes around a pack of cigarettes daily and has not been taking prenatal vitamins. Which of the following represents a known maternal risk factor for spontaneous abortion in this patient?

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