Gestation presents with bright vaginal spotting


Problem: A 28-year-old woman at eight weeks gestation presents with bright vaginal spotting. Ultrasound reveals normal, cardiac activity, no visible subchorionic hemorrhage and a crown rump length of 17 mm. What is your most appropriate response? A. Reassure her pregnancy loss risk is 4% or less since the heartbeat is present b. Advise her to initiate bedrest and come in tomorrow for a repeat ultrasound. C. Order two beta hcg levels over four days. D. Or progesterone suppositories to start daily.

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Other Subject: Gestation presents with bright vaginal spotting
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