How should the nurse interpret a fundus measurement of 23 cm at 24 weeks' gestation?

At 24 weeks' gestation, a fundal height measurement of 23 cm indicates that the measurement is consistent with the expected growth of the uterus during pregnancy. Typically, the fundal height in centimeters roughly corresponds to the number of weeks of gestation, with a normal variance of about 2 cm above or below that number. Therefore, a 23 cm measurement is within that range and suggests that fetal development is likely progressing as expected in this stage of the pregnancy.

Fundal height is a useful clinical indicator of several factors, including the gestational age of the fetus, fetal growth, and overall health of the pregnancy. Regular assessment of fundal height allows healthcare providers to monitor these aspects closely. When the measurement aligns well with gestational age, it reinforces the notion that both fetal growth and amniotic fluid levels are likely normal, fostering reassurance for both the patient and healthcare team.