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1. A 25-year-old woman visits the clinic for a routine prenatal checkup at 28
weeks of gestation. She reports feeling well and has no complaints. Her
blood pressure is 120/80 mmHg, pulse is 80 beats/min, and weight is 65 kg.
She has gained 10 kg since the beginning of her pregnancy. The nurse
performs a fundal height measurement and finds it to be 30 cm. What is the
most appropriate action for the nurse to take?
a) Document the finding as normal and reassure the woman.
b) Refer the woman for an ultrasound to rule out intrauterine growth
restriction (IUGR).
c) Advise the woman to increase her calorie intake and monitor her weight
gain.
d) Perform a urine dipstick test to check for proteinuria and glucose.
*Answer: a) Document the finding as normal and reassure the woman.*
Rationale: The fundal height measurement is a simple and reliable method to
assess fetal growth and well-being. It is measured in centimeters from the top
of the pubic bone to the top of the uterus (fundus). The fundal height should
be approximately equal to the number of weeks of gestation, plus or minus 2
cm. In this case, the woman's fundal height is within the normal range for her
gestational age, indicating that her fetus is growing adequately. There is noÂ
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