A pregnant woman's mother is worried that her daughter is not "big enough" at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus
What should the nurse report to the woman and her mother? a. "The body of the uterus is at the belly button level, just where it should be at this
time."
b. "You're right. We'll inform the practitioner immediately."
c. "When you come for next month's appointment, we'll check you again to make
sure that the baby is growing."
d. "Lightening has occurred, so the fundal height is lower than expected."
A
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A At 20 weeks, the fundus is usually located at the umbilical level. Because the
uterus grows in a predictable pattern, obstetric nurses should know that the
uterus of 20 weeks of gestation is located at the level of the umbilicus.
B This is incorrect information. At 20 weeks the uterus should be at the umbilical
level.
C By avoiding the direction question, this might increase the anxiety of both the
mother and grandmother.
D The descent of the fetal head (lightening) occurs in late pregnancy.
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