Growth Problems (Assessment & Diagnosis) — 29yo | Obstetrics | MCCQE1 Q#13476
MCCQE1 Question #13476
Dimension of Care
Health Promotion & Illness Prevention
Activity
Assessment & Diagnosis
Objective
Growth Problems
Section
Obstetrics & Gynecology
Subject
Obstetrics
Last updated: February 2026
A 29-year-old G2P1 at 33+4 weeks’ gestation is followed for decreased symphysis–fundal height. Ultrasound shows an estimated fetal weight at the 2nd percentile with normal amniotic fluid and umbilical artery Dopplers. Labour is induced at 37 weeks. A term female newborn is delivered weighing 2120 g, with length and head circumference both below the 3rd percentile. Examination shows proportionate small size without dysmorphic features and a normal cardiorespiratory exam. Placental pathology is pending. The parents ask whether investigations are needed to look for a cause of the intrauterine growth restriction. Which investigation is most appropriate to evaluate for an underlying causal condition in this newborn?
Full answer analysis and choices are available inside the practice session.
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