In assessing a woman at 26 weeks gestation, which finding indicates a potential concern for fetal development?

A fundal height of 24 cm at 26 weeks gestation raises a potential concern for fetal development because it suggests that the growth of the fetus may not be on track. During the second trimester, fundal height generally increases in a predictable manner, typically about 1 cm per week, reflecting the gestational age of the baby. At 26 weeks, the fundal height should range from approximately 24 to 28 cm. A measurement significantly lower than expected can indicate issues such as intrauterine growth restriction (IUGR), oligohydramnios, or other potential complications that could impact fetal health and development.

On the other hand, a hematocrit level of 35% is generally within an acceptable range for pregnant women, showing that the mother has adequate iron levels to support fetal development. A weight gain of 3 pounds in the last month falls within normal limits for the second trimester, where weight gain can vary widely but is expected to average around 1-2 pounds per week in this period. Lastly, a serum glucose level of 90 mg/dL is typically considered normal for a pregnant woman, indicating no immediate concern for gestational diabetes.