6 Hours Of Sudden in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#1502

SMLE Question #1502

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old woman (G2P2) presents to the emergency department with 6 hours of sudden heavy vaginal bleeding and lower abdominal cramping. She is soaking multiple pads per hour and feels lightheaded. Urine pregnancy test is negative. Speculum examination shows active bleeding with pooling of blood in the vaginal vault. What is the most appropriate next step in management?

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