Her First Prenatal Visit in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18109

SMLE Question #18109

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 17-year-old primigravida presents for her first prenatal visit after a positive home pregnancy test. Her last menstrual period was 5 weeks ago. She has mild nausea but no abdominal pain, shoulder pain, syncope, fever, or vaginal bleeding. Pelvic examination shows a closed cervical os, no vaginal bleeding, and no adnexal tenderness or cervical motion tenderness. What is the most appropriate next step to confirm an intrauterine pregnancy at this gestational age?

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