1 Day Of Light in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12276
SMLE Question #12276
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 35-year-old G9P6 woman, 8 weeks by last menstrual period, presents with 1 day of light vaginal spotting and mild lower abdominal cramps. She passed a few small dark-brown clots. Speculum exam shows scant blood, and the cervical os is closed. Transvaginal ultrasound shows an intrauterine gestational sac consistent with 5 weeks’ gestation without a definite fetal pole. What is the most appropriate next step in management?
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