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    Fundic Height Measurement Checklist

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    SHENNY ISABELLE ROSALES
    This document provides instructions for assessing fundic height during pregnancy. It lists the steps of the procedure, including: 1) identifying the patient and obtaining consent, 2) explaining the purpose and answering questions, 3) positioning the patient supine with legs extended and exposing the abdomen, 4) measuring from the uppermost border of the uterine fundus to the upper border of the symphysis pubis using a tape measure, 5) documenting the measurement in centimeters and comparing to the calculated gestation, and 6) performing hand hygiene. Rationale is provided for certain steps to minimize discomfort and potential risks.

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    © All Rights Reserved
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    Fundic Height Measurement Checklist

    Uploaded by

    SHENNY ISABELLE ROSALES
    70 views2 pages
    This document provides instructions for assessing fundic height during pregnancy. It lists the steps of the procedure, including: 1) identifying the patient and obtaining consent, 2) explaining the purpose and answering questions, 3) positioning the patient supine with legs extended and exposing the abdomen, 4) measuring from the uppermost border of the uterine fundus to the upper border of the symphysis pubis using a tape measure, 5) documenting the measurement in centimeters and comparing to the calculated gestation, and 6) performing hand hygiene. Rationale is provided for certain steps to minimize discomfort and potential risks.

    Original Description:

    Checklist

    Original Title

    FUNDIC-HEIGHT-MEASUREMENT-CHECKLIST

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    This document provides instructions for assessing fundic height during pregnancy. It lists the steps of the procedure, including: 1) identifying the patient and obtaining consent, 2) explaining the purpose and answering questions, 3) positioning the patient supine with legs extended and exposing the abdomen, 4) measuring from the uppermost border of the uterine fundus to the upper border of the symphysis pubis using a tape measure, 5) documenting the measurement in centimeters and comparing to the calculated gestation, and 6) performing hand hygiene. Rationale is provided for certain steps to minimize discomfort and potential risks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    70 views2 pages

    Fundic Height Measurement Checklist

    Uploaded by

    SHENNY ISABELLE ROSALES
    This document provides instructions for assessing fundic height during pregnancy. It lists the steps of the procedure, including: 1) identifying the patient and obtaining consent, 2) explaining the purpose and answering questions, 3) positioning the patient supine with legs extended and exposing the abdomen, 4) measuring from the uppermost border of the uterine fundus to the upper border of the symphysis pubis using a tape measure, 5) documenting the measurement in centimeters and comparing to the calculated gestation, and 6) performing hand hygiene. Rationale is provided for certain steps to minimize discomfort and potential risks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Assessing the Fundic Height

    Instruction:  Check under Correctly Done if identified skill is correctly performed; Incorrectly Done if
    skill is not performed correctly; and Not Done if the student failed to perform the skill.
      Correctly Incorrectly Not Done

    Procedure Done Done


    2 1 0
    1. Identify the patient and obtain consent.      
    2. Explain the purpose of the procedure and answer any      
    questions.
    1.    Encourage the woman to empty her bladder if she has      
    not done so in the last 30 minutes
    2.    Perform hand hygiene.      
    3.    Help the patient undress if needed and provide a patient      
    gown. Assist the patient to a supine position with her legs
    extended and expose the abdomen.
    Rationale:  While not the preferred position for most women,
    a supine position has been found to yield least variation in
    measurements.
    4.    Consider placing a wedge under the right buttock if the      
    gravid uterus is of a size likely to compromise maternal
    and/or fetal circulation.
    Rationale: An enlarged uterus can compress the inferior
    vena cava and the lower aorta leading to maternal
    supine hypotension and reduced utero-placental blood
    flow which can cause fetal compromise
    5.    Ensure hands are clean and warm.      
    Rationale:  Warm hands minimize maternal discomfort
    and potential for inducing contraction of the uterus.
    6.    Place the zero mark of the tape measure at the      
    uppermost border of the uterine fundus. Run the tape
    measure along the midline of the woman’s abdomen to the
    uppermost border of the symphysis pubis. (To locate the
    fundus the hand is moved down the abdomen below the
    xiphisternum until the curved upper border of the fundus
    is felt.)
    7.    Replace the patient’s gown and assist the patient to a      
    comfortable position.
    8.    Document the distance in centimeters and compare with      
    the calculated gestation
    9.    Perform hand hygiene.      

    Comment:
    _________________________________________________________________________________________
    _______________________________________________________________

    Score: _____________________
     
     
    Name of Student:                                                           Date Performed:                      
                                          (Signature Over Printed Name)
     

    Evaluated by:                                                                  Date of Evaluation:                 


                                           (Signature Over Printed Name)

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