A 26-year-old woman at 7 weeks’ gestation presents with lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago, an...

Question

A 26-year-old woman at 7 weeks’ gestation presents with lower abdominal pain and light vaginal bleeding. Her last menstrual period was 7 weeks ago, and a urine pregnancy test is positive. She is haemodynamically stable. Transvaginal ultrasound shows no intrauterine or extrauterine pregnancy. According to NICE NG126, what is the most appropriate next step?

Accepted Answer

Manage as a pregnancy of unknown location with serial serum hCG measurements and repeat scan.

Answer

Reassure her that this is a normal early pregnancy and discharge.

Answer

Repeat transvaginal ultrasound immediately with a different operator.

Answer

Offer immediate methotrexate for presumed ectopic pregnancy.

Answer

Perform blind uterine curettage to confirm miscarriage.

uk-plab-1 MCQ (SBA): Pregnancy of unknown location