What position is the fundus typically at by week 28 of pregnancy?

By week 28 of pregnancy, the fundus, which is the upper part of the uterus, typically reaches a height that can be palpated halfway between the pubic symphysis and the umbilicus. This is an important developmental milestone during pregnancy as it indicates the growth of the uterus and the fetus. At this stage, the uterus has expanded significantly to accommodate the growing fetus, and the fundal height will continue to rise as the pregnancy progresses.

In a normal progression of pregnancy, by the end of the second trimester, the fundus is expected to be around 2-3 fingerbreadths below the umbilicus, which supports the fetal development and the increasing uterine size. This position allows healthcare providers to assess fetal growth through fundal height measurements, which should correlate with gestational age.

Understanding the typical position of the fundus helps nurses and healthcare providers monitor the progress of the pregnancy and identify any potential complications early. It’s crucial during routine assessments for optimal prenatal care.