During a patient's appointment, which priority assessment should be performed based on her history and gestational age?

Study for the Maternal Newborn Review Exam. Use flashcards and multiple-choice questions with hints and explanations for each question. Prepare effectively for your exam!

In the context of a patient's appointment during pregnancy, measuring fundal height is a priority assessment that provides crucial insights into fetal growth and gestational age. Fundal height measurement is typically conducted from the top of the pubic symphysis to the top of the uterus (fundus). This measurement helps healthcare providers evaluate whether the size of the uterus corresponds to the expected growth of the fetus at a particular gestational age.

By measuring fundal height, clinicians can detect issues such as intrauterine growth restriction or polyhydramnios, which might necessitate further investigation or intervention. This assessment is particularly important as the pregnancy progresses, especially during the second and third trimesters, when accurate tracking of fetal growth is critical for ensuring a healthy pregnancy.

Other assessments, while valuable, may not take immediate priority based on the context of the patient's history and gestational age. A swab for group beta strep is typically performed later in pregnancy, around 35 to 37 weeks, to screen for bacteria that could affect neonatal health during delivery. Assessment of fetal heart sounds is certainly vital for monitoring fetal well-being, but it usually accompanies other examinations like fundal height measurement. Checking for cervical dilation is more pertinent as the patient approaches labor. Therefore

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