A nurse is performing an assessment on four patients at 22 weeks' gestation. The nurse reports to the obstetrician that which patient might be carrying twins?
1. The patient who states that she feels "huge"
2. The patient with a weight gain of 15 pounds
3. The patient whose fundal height is 27 cm
4. The patient whose heart rate is 90
3
Rationale 1: Most pregnant women complain of feeling huge.
Rationale 2: A weight gain of 15 pounds is within normal limits at this stage.
Rationale 3: A patient at 22 weeks' gestation with a fundal height of 27 cm could possibly be carrying twins, as the fundal height normally should be at 22 cm at this stage.
Rationale 4: A heart rate of 90 is within normal limits for a pregnant woman.
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