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    Hesi RN Maternal Newborn Proctored Exam

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    Question: 1 of 44HESI RN Maternal Newborn 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
    A. 1+ edema on her lower extremities: Mild edema in the lower extremities is a common finding in the third trimester due to increased blood volume and venous stasis. It is not necessarily a concerning finding unless accompanied by signs of preeclampsia, such as hypertension or proteinuria. B. Fundal height of 30 cm: At 34 weeks of gestation, the fundal height is typically expected to be within 2 cm of the gestational age (32–36 cm). A measurement of 30 cm is below the expected range and may indicate intrauterine growth restriction (IUGR) or oligohydramnios. This finding requires further evaluation by the healthcare provider. C. Weight gain of 2 pounds (0.91 kg): A weight gain of approximately 1–2 pounds (0.45–0.91 kg) per week in the third trimester is within the normal range for pregnancy and does not require immediate intervention. D. Fetal heart rate of 110 beats/minute: The normal fetal heart rate ranges between 110–160 beats per minute. While 110 bpm is at the lower end of normal, it is still within an acceptable range and does not necessarily indicate fetal distress. However, continued monitoring may be warranted if there are additional concerns.
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