Mild Vaginal Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1554

SMLE Question #1554

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 23-year-old primigravida at 28 weeks’ gestation presents with mild vaginal bleeding and 2 days of decreased fetal movement. She has no abdominal pain, fever, or passage of tissue. Ultrasound shows a singleton intrauterine pregnancy consistent with 28 weeks’ gestation with absent fetal cardiac activity. Cervical status has not been assessed yet. What is the most appropriate diagnosis?

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