Instructions: Listen to the podcast episode available below, and then submit your answers to the multiple choice questions. You will review the answers and the material covered during your next Continuity Clinic Session.
Early Unlocated Pregnancy
1. A 22yo G2P1 presents with vaginal spotting. Urine pregnancy test is positive. Quantitative serum b-HCG is 1625 mIU/mL. Transvaginal ultrasound findings are shown here. There are no adnexal masses. There is no free fluid in the cul de sac. What is the next best step?
2. A 30 yo G3P0111 presents for a dating ultrasound. She is 5w5d by LMP. She reports intermittent light vaginal bleeding over the last week. Pelvic exam prior to her scan demonstrates a closed cervix with no active bleeding. She is Rh positive. Ultrasound shows a gestational sac with a yolk sac seen by transvaginal imaging. What is the best next step in management to confirm viability?
3. A 30 yo G6P0050 with a history of recurrent pregnancy loss presents for a viability scan. Per ACOG, which of the following is suggestive (but not diagnostic) of early pregnancy loss?