Review Question - QID 107195

A 28-year-old female G1P0000 at 10 weeks gestation presents to the ED with vaginal bleeding and abdominal cramping. She first noticed spotting yesterday morning with increasing vaginal bleeding and passing of clots. Her pregnancy has been uncomplicated up to this point, and she has received regular prenatal care. Her vital signs are as follows: T 98.6 F, BP 126/82, P 92, and SpO2 98%. Physical exam is remarkable for tenderness to palpation of the lower abdomen and pelvis. Pelvic exam reveals blood at the vaginal vault, with an open cervical os. Her beta-hCG level returns at 34,900 mIU/mL. A vaginal swab returns positive for Chlamydia infection. Transvaginal ultrasound is performed, which shows the findings in Figure A. What is the appropriate management for this patient’s presentation?