Family Nurse Practitioner Exam

At 34 weeks of gestation, where should a multigravida's uterine fundus approximately be located?

1. Midway between the umbilicus and the lower ribs

2. At the level of the umbilicus

3. From 33 to 35 cm

4. From 32 to 34 cm

The correct answer is: From 33 to 35 cm

At 34 weeks of gestation, a multigravida's uterine fundus is typically located at a measurement of approximately 33 to 35 cm from the pubic symphysis. This measurement aligns with the understanding of normal growth and positioning of the uterus during pregnancy. The uterine fundal height is a key indicator of fetal growth and gestational development, and it is usually assessed in centimeters, correlating closely with the number of weeks of gestation. As the pregnancy progresses, the fundal height grows, and it is expected to be roughly equal to the number of weeks of pregnancy in centimeters, allowing for normal variations. Therefore, the choice stating a range of 33 to 35 cm accurately represents this expected measurement at 34 weeks. Understanding this allows healthcare providers to monitor fetal growth and determine if the pregnancy is progressing appropriately.