A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus?
3 cm below the umbilicus
5 cm above the umbilicus
3 cm above the umbilicus
At the umbilicus
The Correct Answer is D
At 22 weeks of gestation, the uterine fundus is typically located at or near the level of the umbilicus. Fundal height generally corresponds to gestational age in centimeters, so at 22 weeks, the fundus is expected to be approximately 22 cm from the pubic symphysis, which aligns with the umbilicus.
- A. 3 cm below the umbilicus: This is too low, as the fundus at 22 weeks should be at or slightly above the umbilicus.
- B. 5 cm above the umbilicus: This is too high, as the fundus typically reaches this level closer to 24–26 weeks.
- C. 3 cm above the umbilicus: This is slightly higher than expected for 22 weeks, though the fundus may be just above the umbilicus in some cases.
- D. At the umbilicus: This is the most accurate, as the fundus is typically at the level of the umbilicus at 20–22 weeks.
Final Answer: D. At the umbilicus
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is ["A","C","E"]
Explanation
Swaddling can provide a sense of security and comfort to the newborn by mimicking the feeling of being in the womb.
Carrying the newborn close to the caregiver's body can help promote a sense of security and provide soothing motion. It can also allow the caregiver to be responsive to the newborn's needs.
The gentle motion and vibrations of a car ride can often help soothe a newborn and lull them to sleep.
It is not appropriate to suggest the following:
It is important to respond to a newborn's cries and provide comfort and care. Allowing a newborn to cry for extended periods without intervention can lead to distress and is not recommended.
Newborns often feel more secure when they are in a smaller, cozier space. Placing them in the center of a large crib may not provide the same sense of security.
Correct Answer is D
Explanation
At 22 weeks of gestation, the uterine fundus is typically located at or near the level of the umbilicus. Fundal height generally corresponds to gestational age in centimeters, so at 22 weeks, the fundus is expected to be approximately 22 cm from the pubic symphysis, which aligns with the umbilicus.
- A. 3 cm below the umbilicus: This is too low, as the fundus at 22 weeks should be at or slightly above the umbilicus.
- B. 5 cm above the umbilicus: This is too high, as the fundus typically reaches this level closer to 24–26 weeks.
- C. 3 cm above the umbilicus: This is slightly higher than expected for 22 weeks, though the fundus may be just above the umbilicus in some cases.
- D. At the umbilicus: This is the most accurate, as the fundus is typically at the level of the umbilicus at 20–22 weeks.
Final Answer: D. At the umbilicus
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