1 Day Of Light in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12403
SMLE Question #12403
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 40-year-old G9P6026 woman at 9 weeks’ gestation by last menstrual period presents with 1 day of light vaginal spotting and mild lower abdominal cramping. She has no passage of tissue and is hemodynamically stable. Pelvic examination shows a closed cervical os with minimal blood in the vaginal vault. Transvaginal ultrasound shows an intrauterine pregnancy measuring 5 weeks with no fetal cardiac activity, and a repeat scan after 7 days shows no interval growth. She prefers to avoid procedures and medications if safe. What is the most appropriate next step in management?
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