Recent Question

(M2.OB.59) A 21-year-old G1P0 female at 17 weeks gestation presents to the emergency room because of vaginal bleeding. Upon further description, she says she has seen "some blood" on two pads "similar to a light period". Her past medical history is unremarkable. She has received all indicated prenatal care and does not smoke and has not used alcohol since learning of her pregnancy. Ultrasonography shows a fetus appropriate for the gestational age. Pelvic examination demonstrates a cervix that is long, closed, and posterior. Which of the following is the most appropriate next step in the management of this patient? Topic Review Topic

1. Cervical cerclage placement
2. Methotrexate administration
3. Scheduled surgical evacuation
4. Emergency surgical evacuation
5. Reassurance with outpatient follow-up

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