Obstetric and Gynecological Nursing - The Carter Center

) Size:- Should correspond with the supposed period of
gestation
c) Skin: - The dark line of pigmentation which is lineanigra is
seen any rash?
d) Strae gravidarum
e) Scar - Any operation scar(c/s)
On Palpation:
1. Fundal height and fundal palpation (1 st Leopoled
Maneuver)
1.1 Fundal Height
At about 12 to 14 weeks of pregnancy, the uterus is palpated
above the symphysis pubis as a firm globular sphere; it
reaches the umbilicus at 20 to 22 weeks, the xyphoid process
at 36 weeks, and then often returns to about 4 cm below the
xyphiod due to “lightening” at 40 weeks.
Method: Measure distance of fundus with points on abdomen
and assessing the fundal height in finger breadth below the
xiphisternum or measure by centimeter.
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