Which scenario best indicates a spontaneous abortion at 10 weeks gestation?

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Multiple Choice

Which scenario best indicates a spontaneous abortion at 10 weeks gestation?

Early pregnancy loss often presents with vaginal bleeding and cramping as the uterus expels the pregnancy tissue. At about ten weeks, vaginal bleeding with abdominal cramps best indicates a spontaneous abortion because this combination reflects the uterus contracting and passing products of conception. No bleeding with persistent nausea fits a continuing viable pregnancy, not loss. Regular prenatal visits also suggest the pregnancy is continuing. A molar pregnancy is a gestational trophoblastic disease that can cause abnormal findings and bleeding, but it’s a distinct condition rather than a straightforward spontaneous abortion at ten weeks.

Early pregnancy loss often presents with vaginal bleeding and cramping as the uterus expels the pregnancy tissue. At about ten weeks, vaginal bleeding with abdominal cramps best indicates a spontaneous abortion because this combination reflects the uterus contracting and passing products of conception.

No bleeding with persistent nausea fits a continuing viable pregnancy, not loss. Regular prenatal visits also suggest the pregnancy is continuing. A molar pregnancy is a gestational trophoblastic disease that can cause abnormal findings and bleeding, but it’s a distinct condition rather than a straightforward spontaneous abortion at ten weeks.

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