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    Rn Hesi Pediatric And Women Health Proctored Exam

    A 34-week gestation multigravida comes to the clinic for her bimonthly appointment. Which assessment finding should the nurse report to the healthcare provider (HCP)?

    Explanation & Rationale

    A. Fetal heart rate of 110 beats/minute: A fetal heart rate between 110 and 160 beats/minute is considered within the normal range, so 110 bpm is not concerning at 34 weeks gestation. However, this finding might require close monitoring as it is on the lower end of normal B. Fundal height of 30 cm: At 34 weeks gestation, the fundal height is expected to approximate the number of weeks pregnant (approximately 34 cm). A measurement of 30 cm may indicate intrauterine growth restriction or other complications, warranting further evaluation by the HCP. C. 1+ edema on her lower extremities: Mild lower extremity edema is common during the third trimester due to increased venous pressure and fluid retention, and does not typically require urgent reporting. D. Weight gain of 2 pounds (0.91 kg): A 2-pound gain over a couple of weeks is within expected limits during the third trimester and does not indicate an immediate problem.

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