29-year-old G2p1 in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#18471

SMLE Question #18471

Patient Safety, Preventive & Ethics Ethics

Objective: OBJ-ETH-001

Last updated: February 2026
A 29-year-old G2P1 at 10 weeks’ gestation has known dilated cardiomyopathy. Echocardiography shows severe left ventricular systolic dysfunction (ejection fraction 15%). She has severe dyspnea at rest and cannot perform daily activities. She is alert, has decision-making capacity, and asks whether pregnancy termination can be considered given the maternal risk discussed by her physicians. What is the most appropriate counseling/decision?

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