17-year-old female presents to the office with concerns of possible pregnancy...

in medical •  7 years ago  (edited)

A 17-year-old female presents to the office with concerns of possible pregnancy. History reveals she had unprotected intercourse with multiple partners over the past six months. Physical examination of the abdomen reveals the uterus at the level of the umbilicus. A pregnancy test is obtained and is positive. The most likely gestational age of the fetus is

  1. 2 weeks
  2. 6 weeks
  3. 12 weeks
  4. 16 weeks
  5. 20 weeks
medical obgyn comlex
7 years ago by

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      ·  7 years ago 

    12 weeks

    • The patient most likely became pregnant about 20 weeks ago.
    • Fundal height measurements can be used to estimate gestational.
    • Fundal height is measured in centimeters from the top of the pubic bone.
    • At 12 weeks' gestation the fundal height is located at the level of the pubic symphysis.
    • At 16 weeks' gestation the fundal height is measured halfway between the pubic symphysis and the umbilicus.
    • At 20 weeks' gestation the fundus of the uterus is located at approximately the level of the umbilicus.
    • Many disorders of pregnancy can lead to inaccurate fundal height measurements.
    • If an ultrasound confirms the gestation length and the fundal height does not correspond further testing should be initiated.
    • Answers 1/2: The uterus cannot be palpated until 12 weeks' gestation.

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