If a patient at 28 weeks gestation has a fundal height of 29 cm, what is the best advice?

If a patient at 28 weeks gestation has a fundal height of 29 cm, what is the best advice?

• A. Advise the mother that her pregnancy is progressing well
• B. Refer her to an obstetrician for an amniocentesis
• C. Order an ultrasound of the uterus
• D. Recommend bed rest with bathroom privileges

Answer: (A)

The best advice in this scenario is to inform the mother that her pregnancy is progressing well. At 28 weeks gestation, fundal height typically correlates with gestational age, and a fundal height of 29 cm suggests that the fetus is growing within an acceptable range. It is common for fundal height to vary by a couple of centimeters around the gestational age, and a difference of 1 cm is generally within normal limits. This reassurance is important for the mother's peace of mind as she progresses further into her pregnancy. Maintaining understanding around normal growth patterns helps in promoting positive maternal health. While there may be other evaluations or referrals indicated in different circumstances, they are not necessary or appropriate based on the information presented here, as the fundal height is in alignment with the expected growth trajectory.

The best advice in this scenario is to inform the mother that her pregnancy is progressing well. At 28 weeks gestation, fundal height typically correlates with gestational age, and a fundal height of 29 cm suggests that the fetus is growing within an acceptable range. It is common for fundal height to vary by a couple of centimeters around the gestational age, and a difference of 1 cm is generally within normal limits.

This reassurance is important for the mother's peace of mind as she progresses further into her pregnancy. Maintaining understanding around normal growth patterns helps in promoting positive maternal health.

While there may be other evaluations or referrals indicated in different circumstances, they are not necessary or appropriate based on the information presented here, as the fundal height is in alignment with the expected growth trajectory.