In this scenario, which step is most appropriate first when ultrasound shows no intrauterine pregnancy in a patient with vaginal bleeding?

In this scenario, which step is most appropriate first when ultrasound shows no intrauterine pregnancy in a patient with vaginal bleeding?

• A. Immediate surgical evaluation
• B. Bed rest
• C. Hemodynamic stabilization and surgical evaluation
• D. Expectant management

Answer: (C)