A 27-year-old woman at 10 weeks' gestation presents to a remote nursing station with painless vaginal bleeding and no products passed. She is Rh negat...

Question

A 27-year-old woman at 10 weeks' gestation presents to a remote nursing station with painless vaginal bleeding and no products passed. She is Rh negative, haemodynamically stable. Ultrasound is not immediately available. Which is the most important immediate management step in addition to arranging transfer?

Accepted Answer

Give anti-D immunoglobulin

Answer

Start misoprostol to complete miscarriage

Answer

Offer combined oral contraceptive pill

Answer

Reassure and discharge without follow-up

Answer

Schedule routine antenatal visit in 4 weeks

ca-mccqe1 MCQ (SBA): Threatened miscarriage and Rh prophylaxis