During a routine prenatal visit, which finding should the nurse report to the provider for a client at 20 weeks of gestation?

At 20 weeks of gestation, the expectation for fundal height is that it should correspond approximately to the number of weeks of pregnancy, typically measuring around 18-22 centimeters. Any significant deviation from this range can indicate potential issues such as inadequate fetal growth, multiples, or other complications.

Reporting the fundal height is crucial because it is a key indicator of fetal development and well-being. The healthcare provider can make necessary assessments or interventions if the fundal height measurement is outside the normal range.

In contrast, weight gain of 2 pounds may be within acceptable limits for a woman who is in the second trimester, as the recommended weight gain during this period varies based on pre-pregnancy weight. A heart rate of 120 bpm is considered normal for a fetus at this stage. Lower abdominal discomfort can occur for many reasons during pregnancy, but unless it is severe or accompanied by other concerning symptoms, it may not necessarily require urgent reporting.