A 31-year-old woman, gravida 3 para 2, is seen at her GP surgery for routine antenatal care at 25 weeks of gestation. Her symphysis-fundal height meas...

Question

A 31-year-old woman, gravida 3 para 2, is seen at her GP surgery for routine antenatal care at 25 weeks of gestation. Her symphysis-fundal height measures 21 cm. She had two previous normal vaginal deliveries at term with birth weights of 3.2 kg and 3.4 kg. Which is the single most appropriate action?

Accepted Answer

Arrange an urgent ultrasound for fetal growth

Answer

Reassure and remeasure at 28 weeks

Answer

Refer for umbilical artery Doppler

Answer

Advise increased dietary intake and recheck in 2 weeks

Answer

Request cardiotocography

uk-drcog MCQ (SBA): Fetal Growth Restriction