Brief Episode Of Mild in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11913

SMLE Question #11913

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 30-year-old G2P1 woman at 7 weeks of gestation presents with a brief episode of mild, painless vaginal bleeding with mild lower abdominal discomfort. Speculum examination shows a closed cervix with a small amount of dark blood in the vaginal vault and no active heavy bleeding. Transvaginal ultrasound shows a single live intrauterine pregnancy consistent with 7 weeks, with fetal cardiac activity, and no adnexal mass or subchorionic hematoma. What is the most appropriate next step in management?

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