📌 NCLEX Topic: Fundal Height Measurement in Pregnancy

Definition:

Fundal height is the measurement from the pubic symphysis to the top of the uterus (fundus) in centimeters (cm). It helps assess fetal growth and gestational age.

Normal Fundal Height by Gestational Age:

• Before 12 weeks: The uterus is not palpable above the pubic symphysis.
• 12-14 weeks: The fundus rises above the pubic symphysis.
• 16 weeks: The fundus is midway between the pubic symphysis and the umbilicus.
• 20-22 weeks: The fundus is at the umbilicus (belly button).
• After 20 weeks: Fundal height in cm ≈ Gestational age in weeks (±2 cm).
• 36 weeks: The fundus reaches the xiphoid process.
• 40 weeks: The fundal height may drop slightly due to lightening (fetal descent into the pelvis).

How to Measure Fundal Height:

1. Have the client lie supine with an empty bladder.
2. Use a tape measure (centimeters) from the pubic symphysis to the fundus.
3. Compare the measurement with gestational norms to assess fetal growth.