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)?

Choice A rationale: A weight gain of 2 pounds (0.91 kg) over a two-week period during the third trimester is considered within the normal range. Typically, a pregnant client is expected to gain approximately 1 pound per week during this stage of gestation. Choice B rationale: The fundal height is a significant finding that should be reported. Generally, between 20 and 36 weeks of gestation, the fundal height in centimeters should approximately equal the number of weeks of gestation (plus or minus 2 cm). A fundal height of 30 cm at 34 weeks suggests intrauterine growth restriction (IUGR) or oligohydramnios and requires further diagnostic evaluation, such as an ultrasound. Choice C rationale: Dependent edema (1+) in the lower extremities is a common and usually benign finding in the third trimester due to increased venous pressure and fluid retention. As long as it is not accompanied by hypertension or proteinuria (signs of preeclampsia), it is typically managed with elevation and monitoring. Choice D rationale: A fetal heart rate of 110 beats/minute is at the lower end of the normal range (110 to 160 beats/minute). While it requires continued monitoring to ensure it remains stable and shows appropriate variability, it is not an inherently abnormal finding that necessitates an immediate urgent report in the absence of other distress signals.