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Content disclaimerContent on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Fundal height NCLEX practice questions for nursing students. This quiz will test your knowledge on how to interpret fundal height measurements and location. This quiz is part of a NCLEX review series over maternity nursing, so be sure to check out
those other reviews as well. Don’t forget to watch the lecture on fundal height before taking this quiz. Fundal Height NCLEX QuestionsThis quiz contains fundal height NCLEX questions to help prepare you for the NCLEX exam. (NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.) 1. Your patient is 48 hours post-delivery. While assessing fundal height, you would expect the fundal height to be? A. 1 cm above the umbilicus B. 2 cm above the umbilicus C. 1 cm below the umbilicus D. 2 cm below the umbilicus The answer is D. The fundal height will decrease by 1 cm per day below the umbilicus. Therefore, if the woman is 48 hours postpartum (2 days) the fundal height will be 2 cm BELOW the umbilicus. 2. You’re providing discharge teaching to a new mother who is going home after a vaginal delivery. The woman asks when the uterus will return to its pre-pregnancy size. Your response is? A. At about 14 days B. At about 6 months C. At about 6 weeks D. At about 7 days The answer is C. The uterus will return to its pre-pregnancy state at about 6 weeks. 3. During a prenatal visit, you are assessing the fundal height. You find the fundus of the uterus to be right above the symphysis pubis. Based on this finding the patient is about how far along in her pregnancy? A. 20 weeks B. 12 weeks C. 16 weeks D. 24 weeks The answer is B. At about 12 weeks of pregnancy, the fundal height can be found right above the symphysis pubis. 4. You’re assessing a patient’s chart and find that the patient is 36 weeks pregnant. Where should you find the fundus of the uterus during your assessment of fundal height? A. midway between the umbilicus and xiphoid process B. about 4 cm below the xiphoid process C. at the xiphoid process D. 5 cm above the umbilicus The answer is C. At 36 weeks of pregnancy, the fundal height should be at the xiphoid process. 5. Your patient is 24 weeks pregnant, and you’re measuring the fundal height. Which finding below is a normal measurement for this patient? A. 16 cm B. 28 cm C. 26 cm D. 12 cm The answer is C. The patient should be + or – 2 cm of their week of pregnancy. Remember that after 20 weeks of pregnancy the number of weeks the patient is pregnant will match the fundal height measurement plus or minus 2 cm. Therefore, if the patient is 24 weeks, a normal measurement would be either 22 cm to 26 cm. 6. A nursing student, who you are precepting during their OB rotation, asks you when the fundus of the uterus is no longer palpable. You answer: A. at about 10 to 14 days B. at about 7 days C. at 6 weeks D. 48 hours after the delivery of the baby. The answer is A. This is when the uterus has entered back into the pelvic cavity and is no longer palpable. 7. A patient is 40 weeks pregnant, and you find the fundal height to be 4 cm below the xiphoid process. Your next nursing action is to: A. Notify the MD immediately B. Chart this as a normal finding C. Place the patient on continuous fetal monitoring D. Assess the baby’s heart rate with a Doppler The answer is B. This is a normal finding. After 36 weeks of pregnancy, the fundal height will regress. Remember at 36 weeks the fundus will be at the xiphoid process. However, the fundus of the uterus will decrease about 4 cm from the xiphoid process at about 37-40 weeks of pregnancy. WHY? The baby has settled down into the pelvic cavity and preparing for delivery. 8. Which finding while measuring the fundal height of a patient who is 36 weeks pregnant would require immediate action? A. The fundal height measures at 38 cm. B. The patient complains of feeling lightheaded and dizzy. C. The fundus of the uterus is at the xiphoid process. D. The patient states she cannot sleep at night. The answer is B. As the nurse, you must monitor the patient for supine hypotension while measuring the fundal height. This is because as the uterus enlarges it can compress the great vessel of the heart leading to supine hypotension. Therefore, if the patient complains of this during the measurement you would want to immediately place her on the left side. 9. One hour after delivery where do you expect to find the fundus of the uterus? A. 4 cm below the xiphoid process B. right above the symphysis pubis C. At the umbilicus D. 2 cm below the umbilicus The answer is C. More NCLEX Quizzes  Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. Where is the fundus at 22 weeks gestation?Your belly is growing higher, and by week 22 the top of your uterus (known as the fundus) is now above your belly button. Your uterus may even occasionally feel hard for a few seconds as you being to experience practice contractions.
Where should fundal height be at 24 weeks?It's measured in centimeters with measuring tape. After about 20 weeks of pregnancy, your fundal height in centimeters should be close to the fetus's gestational age. For example, if you are 24 weeks pregnant, your fundal height should be around 24 centimeters.
What is the normal fundal height at 27 weeks?The expectation is that after week 24 of pregnancy the fundal height for a normally growing baby will match the number of weeks of pregnancy — plus or minus 2 centimeters. For example, if you're 27 weeks pregnant, your health care provider would expect your fundal height to be about 27 centimeters.
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Where should the nurse palpate the fundus of a woman who is 22 weeks gestation?
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