At routine postnatal check on day 12, the fundus of a normally involuting uterus should be:

• A Palpable midway between the symphysis pubis and umbilicus
• B Palpable at the level of the umbilicus
• C Palpable just below the umbilicus
• D Not palpable abdominally, having become a pelvic organ ✓

Explanation

Immediately after delivery the fundus lies about 12 cm above the symphysis pubis and descends approximately 1 cm per day. By the end of the second week the uterus has descended into the true pelvis and is no longer palpable abdominally. By 6 weeks it regains its non pregnant size and weighs about 60 to 80 g compared with about 1000 g immediately after birth.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.