CPM Certified Professional Midwife

Answer: D - Anencephaly is not likely to be considered by the midwife. The Using McDonald’s rule, you can estimate the fetal growth by measuring the distance from the fundus to the symphysis pubis. A normal measurement is usually equal to the week of gestation between the 20^th and 31^st week of gestation. A measurement of 30 cm suggests that the fundal height is much greater than the standard, suggesting a multiple pregnancy, a large - for - gestational - age infant or hydatidiform mole. Anencephaly is considered if the fundal height is less than the standard.