Published online by Cambridge University Press: 19 November 2021
A healthy 34-year-old woman, gravida 2, para 1001, last menstrual period (LMP) approximately nine weeks ago presents with vaginal spotting. She reports nausea and vomiting for three weeks. Her menstrual cycles are normal in length, and she is sure of her LMP. She reports a history of a normal pregnancy that resulted in an uncomplicated spontaneous vaginal delivery two years ago. She has no relevant past medical or surgical history. She is currently taking prenatal vitamins and has no known drug allergies.
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