A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. 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 client 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
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' gestation is located at the level of the umbilicus. Option c might increase the anxiety of both the mother and grandmother by avoiding the direct question. The descent of the fetal head (lightening) occurs in late pregnancy.
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