You can use the options :count, :between, :minimum or :maximum to specify the number of matches expected.
The :count option specifies an exact number of matches. For example, the following requires the page to have the text exactly once:
page.must_have_content('This bit of text.', :count => 1)
The :between option specifies a range of matches expected. For example, the following expects the page to have between 2 to 4 matches:
page.must_have_content('This bit of text.', :between => 2..4)
The :minimum option specifies the minimum number of matches required. For example, the following requires there to be 2 or more matches.
page.must_have_content('This bit of text.', :minimum => 2)
The :maximum option specifies the maximum number of matches allowed. For example, the following expects there to be at most 2 matches.
page.must_have_content('This bit of text.', :maximum => 2)