Question

A 37-year-old at 7 weeks' gestation has a confirmed tubal ectopic pregnancy; she is hemodynamically stable with β-hCG 3,500 mIU/mL and no fetal cardiac activity. Which management is appropriate?

Accepted Answer

Single-dose methotrexate protocol

Answer

Expectant management regardless of β-hCG

Answer

Immediate laparotomy

Answer

Mifepristone monotherapy

Answer

Uterine vacuum aspiration

Practice question

A 37-year-old at 7 weeks' gestation has a confirmed tubal ectopic pregnancy; she is hemodynamically stable with β-hCG 3,500 mIU/mL and no fetal cardiac activity. Which management is appropriate?