FCOG-1243

A 28-year-old primigravid woman at 18 weeks of gestation comes to office for a routine prenatal visit and anatomy ultrasound. Patient feels well generally and has no concerns, also has no chronic medical conditions, and her only daily medication is a prenatal vitamin. She is accompanied by her mother as her husband was unable to get off work. Ultrasound shows a cephalic singleton fetus measuring at <10th percentile consistent with severe growth restriction.There are bilateral choroid plexus cysts, clenched fists, and a large ventricular septal defect. Amniotic fluid level is normal with a posterior and fundal placenta. Which of the following statements is the most appropriate initial response by the physician?