Practice Question
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
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Correct Answer:
2 cm above the umbilicus
Rationale:
🟢 By 22 weeks of gestation, the fundus (top of the uterus) is typically located approximately 2 cm above the umbilicus, following the general rule that the fundal height in centimeters correlates with weeks of gestation between 18 and 30 weeks.
🟢 At 20 weeks, the fundus is usually at the level of the umbilicus. After this point, it rises about 1 cm per week.
🟢 Measuring fundal height helps assess fetal growth and amniotic fluid volume, and deviations from expected measurements may indicate IUGR or polyhydramnios.
🟢 The nurse uses a non-elastic tape measure, measuring from the symphysis pubis to the top of the fundus, ensuring the client is in a supine position with an empty bladder for accuracy.
🟢 Consistent and accurate fundal measurements are important for tracking gestational progress and fetal well-being.
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This question is from RN ATI Maternity Exam IV which contains 68 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4