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 no