FUNDIC HEIGHT MEASUREMENT

Mary Grace Morada-Cu, MAN, RN

Nursing Care Management 107
SPUM- CNAHS

MGGMORADACU2019 1
FUNDIC HEIGHT MEASUREMENT
• Measuring the height of
the pregnant client’s
uterus from the superior
aspect of the pubis to the
fundal crest to determine
fetal growth and
development during
pregnancy.

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Objectives
• To assess the growth
and development of a
fetal well being

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Materials/ Equipment
• Pillow
• Topsheet
• Pair of gloves
• Tape Measure

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Procedure Steps –
PREPARATORY PHASE
1.Assemble all necessary equipment.
2. Introduce self and verify client’s identity
3. Close room doors and windows, draw
room divider

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Procedure Steps - Assessment
• 4. Assess the pregnant woman’s age of
gestation (AOG)

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Procedure Steps - Planning
• 5. At the end of the procedure Client’s age
of gestation will be validated

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Procedure Steps - Implementation
6. Explain to the client the procedure and its
importance. Explain how she can cooperate.
7. Ask the client to empty her bladder if she has not
done so recently. Place client in a dorsal
recumbent position with knees flexed and
separated
8. Wash your hands with warm water. Wear gloves
if contact with secretions is likely.
9. Drape the patient appropriately
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Procedure Steps - Implementation
9. Stand beside the client,
facing her head, with
your dominant hand
nearest her.
10.Find the top of the
uterus- fundal crest (it
feels like a hard ball
under the skin)
11.Find the top of the pubic
bone by palpating
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 Procedure Steps - Implementation
13. Place the tape flat against
the abdomen for
measurement, with
centimeter measurement
facing up
14. Measure fundic height
from the superior aspect
of the pubis to the fundal
crest.
15. Position the patient back
to position of comfort
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Procedure Steps – PostImplementation
16. Validate data gathered for accuracy,
reliability and completeness
17. Discard PPE appropriately and perform hand
washing
18.Interpret result
19.Evaluate using the following criteria:
20.Client’s computed LMP AOG is the same as
the fundic height measurement AOG (roughly
equal or +/-2cm)
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Procedure Steps
18. Report significant findings
that needs immediate
attention to the clinical
instructor or nurse
supervisor or physician
19. Documents and record
findings in the chart using
appropriate
terminologies
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FUNDIC HEIGHT MEASUREMENT

Mary Grace Morada-Cu, MAN, RN

Nursing Care Management 107
SPUM- CNAHS

MGGMORADACU2019 13