When measuring fundal height at around 20 weeks' gestation, which landmark is generally at the level of the fundus?

When measuring fundal height at around 20 weeks' gestation, which landmark is generally at the level of the fundus?

• A. At the pubic symphysis
• B. At the iliac crest
• C. At about the level of the umbilicus
• D. At the xiphoid process

Answer: (C)

At around 20 weeks, the uterus has grown upward so the fundal height aligns with the level of the umbilicus. This is the expected landmark at this stage, reflecting mid-pregnancy growth as the uterus expands from the pelvis toward the abdomen. If the fundus were at the pubic symphysis, that would indicate an earlier gestation; if it were near the xiphoid process, that would occur much later in pregnancy. The iliac crest isn’t a consistent landmark for this gestational age.

At around 20 weeks, the uterus has grown upward so the fundal height aligns with the level of the umbilicus. This is the expected landmark at this stage, reflecting mid-pregnancy growth as the uterus expands from the pelvis toward the abdomen. If the fundus were at the pubic symphysis, that would indicate an earlier gestation; if it were near the xiphoid process, that would occur much later in pregnancy. The iliac crest isn’t a consistent landmark for this gestational age.