Pregnancy (Complicated) (Assessment & Diagnosis) — 29yo | Obstetrics | MCCQE1 Q#13477
MCCQE1 Question #13477
Dimension of Care
Health Promotion & Illness Prevention
Activity
Assessment & Diagnosis
Objective
Pregnancy (Complicated)
Section
Obstetrics & Gynecology
Subject
Obstetrics
Last updated: February 2026
A 29-year-old G2P1 at 31+4 weeks’ gestation presents to obstetrical triage because her fundal height has not changed in 3 weeks. Her previous pregnancy resulted in an uncomplicated term birth. This pregnancy has had limited prenatal care. She reports mild headaches and decreased fetal movements. She smokes 10 cigarettes/day despite counselling. On exam, uterine size is smaller than dates, with no vaginal bleeding or fluid leakage. Bedside ultrasound suggests an estimated fetal weight at the 6th percentile with reduced amniotic fluid. Which maternal factor most strongly increases this patient’s risk of intrauterine growth restriction?
Full answer analysis and choices are available inside the practice session.
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