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What might lagging fundal height indicate in a pregnant patient?

Fetal growth restriction

Lagging fundal height in a pregnant patient typically indicates fetal growth restriction (FGR). Fundal height, measured from the pubic bone to the top of the uterus, provides important clinical information regarding the growth and development of the fetus. When fundal height measurements are noticeably less than expected for a given gestational age, it may suggest that the fetus is not growing adequately, which could be due to a variety of factors including placental insufficiency, maternal health issues, or genetic factors.

Monitoring fundal height is vital as it helps healthcare providers identify potential issues early. If a practitioner observes a lagging fundal height, further assessments may be warranted to evaluate fetal well-being, such as ultrasounds to check growth patterns, amniotic fluid levels, and doppler studies to assess blood flow.

Other options do not typically correlate with lagging fundal height. For instance, excess amniotic fluid is more commonly associated with higher than expected fundal height measurements due to the increased volume of amniotic fluid. Multiple gestations generally cause an increased fundal height due to the presence of more than one fetus. Obstructed labor relates to issues during the delivery process rather than measurements taken during routine prenatal care. Thus, understanding fundal

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Excess amniotic fluid

Multiple gestations

Obstructed labor

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