Question

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

a) Maternal weight gain of 2 pounds in a week
b) Fetal heart rate of 150 beats per minute
c) Fundal height measuring 28 cm
d) Presence of varicose veins on the client's legs

Answer 1

Among the options provided, all findings are common and expected during the third trimester of pregnancy: weight gain, appropriate fetal heart rate and fundal height, and the presence of varicose veins. Therefore, none of these findings should be reported to the provider as concerning based on this information alone.

Step-by-step explanation:

When assessing a client who is at 30 weeks of gestation during a routine prenatal visit, the nurse should be vigilant for any signs that may require additional attention or intervention. Among the options provided:

• A maternal weight gain of 2 pounds in a week is expected in the third trimester and is not typically concerning.
• A fetal heart rate of 150 beats per minute is within the normal range for this stage of gestation.
• A fundal height of 28 cm indicates appropriate fetal growth corresponding to the gestational age.
• The presence of varicose veins, although uncomfortable, is a common condition during pregnancy due to increased blood volume and pressure on the veins.

None of these findings is unusual or alarming for a woman at 30 weeks of gestation; therefore, there is no need to report them to the provider based on this information alone.