Mild Vaginal Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12231
SMLE Question #12231
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 17-year-old primigravida at 9 weeks’ gestation presents to the Emergency Department with mild vaginal bleeding and intermittent lower abdominal cramping for 6 hours. She denies passage of tissue, heavy bleeding, syncope, shoulder pain, or fever. She had a positive home pregnancy test and one prior prenatal visit. Transvaginal ultrasonography shows an intrauterine gestational sac with crown-rump length consistent with 9 weeks and fetal cardiac activity, with no free fluid. What is the most appropriate next step in management?
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