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Fundus Measurement (102.084)

Fundus Measurement (102.084) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, OB/GYN

102.084

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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

TITLE: FUNDUS MEASUREMENT

Effective Date: January, 2003 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education

Reviewed March, 2005 March, 2008 May 2009 January 2012


PURPOSE: To provide guidelines for fundus measurement at UWMF Clinics.

DEFINITION: Distance between the pubic bone and uterine fundus (top of the uterus). The fundal height is
used to estimate uterine size and fetal age. This is a rough estimate of the size of the fetus and is used to screen
for problems with fetal growth. This basic measurement is obtained at most prenatal visits. The fundal height
increases as the uterus enlarges. Between 18 and 30 weeks of gestation the fundal height in centimeters is
roughly the same as the number of weeks of gestation.

POLICY: The clinical staff will utilize the following guidelines to measure a fundus of a pregnant woman at a
UWMF clinic.

SUPPLIES: Tape measure, Pen, Provider’s order, Patient’s record

PROCEDURE:

1. Check provider’s order and clarify any
inconsistencies.

2. Wash hands and gather equipment.

3. Introduce yourself and identify the patient.
Include date of birth.

4. Explain procedure to the patient.

5. Provide good light and provide privacy by closing curtains or door or curtain.

6. Make the patient comfortable.

7. Place the measuring tape from the top of the pubic bone to the top the of the uterus (fundus). Fundal height
should be in centimeters.

8. Discuss the findings with the patient.

9. After the measurement, adjust the patient’s clothing and make the patient comfortable.

10. Document measurement in patient’s record (Prenatal Vitals & Notes section of HealthLink).




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WRITTEN BY: Ronnie Peterson, R.N., M.S., Manager of Clinical Support
REVISED BY: Carol Decker, RN, MSN, Clinical Staff Educator
REVIEWED BY: Catherine Hubbard, Nurse Practitioner, OB/GYN, West Towne
Jill Rockwell, MA-TL, UWMF OB/GYN, 20 S Park Street

REFERENCES:
Lowdermilk, D.L., Perry, S.E., Bobak, I.M. (2000). Maternity & Women’s Health Care (7th ed,).St. Louis, MO.,
Mosby.

AUTHORIZATION:



Medical Director Date