2 Weeks Of Progressive in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11890
SMLE Question #11890
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 29-year-old primigravida at 24 weeks’ gestation presents with 2 weeks of progressive exertional dyspnea. She has a monochorionic diamniotic twin pregnancy. Ultrasound shows marked discordant amniotic fluid volumes (deepest vertical pocket 1 cm vs 10 cm), a smaller twin with a nonvisualized bladder, and a larger co-twin with polyhydramnios; no hydrops or fetal demise is seen. What is the most appropriate next step in management?
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