Fetal Pole Measuring 6 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12166

SMLE Question #12166

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 21-year-old G1P0 woman at 8 weeks' gestation presents for a routine prenatal visit. She has mild nausea but no vaginal bleeding, fever, or pelvic pain. Transvaginal ultrasound shows an intrauterine gestational sac with a fetal pole measuring 6 mm and no fetal cardiac activity on a repeat scan 1 week later. She prefers to avoid surgical management but wishes to complete the pregnancy loss soon. What is the most appropriate management option?

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