2 Days Of Light in Obstetrics & Gynecology — 40yo Woman | General Gynecology | SMLE Q#18516
SMLE Question #18516
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-001
Last updated: February 2026
A 40-year-old woman (G9P6026) at 9 weeks’ gestation by last menstrual period presents with 2 days of light vaginal spotting and mild crampy lower abdominal pain. She has no syncope or shoulder pain. Transvaginal ultrasound shows an intrauterine gestational sac with an embryo measuring consistent with 5 weeks’ gestation but no fetal cardiac activity; there is no adnexal mass or free fluid. She is Rh positive. What is the most appropriate next step in management?
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