Abdominal Exam and Fundal Height

As the fetus grows, the location of the uterus, or fundal height, grows superiorly in the abdomen, toward the maternal head. The location in the abdomen that the fetus and uterus are located is described in terms of weeks (see Figure

Fetus at the level of umbilicus: 20 weeks

Fetus at level of pubic symphysis: 12 weeks

Fetus between pubic symphysis and umbilicus: 16 weeks

Nagele's rule assumes two things:

1. A normal gestation is 280 days.

2. Patients all have a 28-day menstrual cycle.



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