A 33-year-old woman, gravida 2 para 1, at 32 weeks of gestation presents to the GP with a symphysis-fundal height measuring 37 cm - 5 cm above the exp...

Question

A 33-year-old woman, gravida 2 para 1, at 32 weeks of gestation presents to the GP with a symphysis-fundal height measuring 37 cm - 5 cm above the expected value. Her previous baby weighed 3.5 kg. She has had no glucose tolerance testing. Which is the single most appropriate action?

Accepted Answer

Arrange an ultrasound to assess fetal growth, amniotic fluid volume, and placental site

Answer

Reassure that variation in fundal height is normal

Answer

Arrange a 75 g OGTT to exclude gestational diabetes

Answer

Refer for immediate delivery

Answer

Recheck fundal height in 2 weeks

uk-drcog MCQ (SBA): Large-for-Dates Assessment

A 33-year-old woman, gravida 2 para 1, at 32 weeks of gestation presents to the GP with a symphysis-fundal height measuring 37 cm - 5 cm above the expected value. Her previous baby weighed 3.5 kg. She has had no glucose tolerance testing. Which is the single most appropriate action?