At 34-weeks gestation, a primigravida is assessed at her bimonthly clinic visit. Which assessment finding is most important for the nurse to report to the healthcare provider

Correct Answer C. Weight gain of 7 pounds (3.2 kg).

Why this is the correct answer:

C. Weight gain of 7 pounds (3.2 kg).

A sudden or excessive weight gain in late pregnancy is concerning because it can indicate fluid retention associated with preeclampsia. At 34 weeks, a normal weight gain should average about 1 pound (0.5 kg) per week. A 7-pound gain between visits is excessive and requires immediate evaluation for hypertension, edema, and proteinuria. Early recognition is critical to prevent maternal and fetal complications.

Why the other options are incorrect:

A. Fetal heart rate of 110 beats/minute.

The normal fetal heart rate range is 110–160 beats/minute. While 110 is on the low end, it is still within normal limits and not the most urgent finding.

B. Fundus below the xiphoid.

At 34 weeks, the fundus is expected to be near the xiphoid process. This is a normal finding and not concerning.

D. Increased appetite.

An increased appetite in late pregnancy is a common and expected change. It does not pose a clinical risk compared to excessive weight gain.