Midwifery and Obstetrics Practice Exam

The correct answer is that the uterus begins to rise out of the pelvic cavity around 12 weeks of gestation. This timing corresponds to the end of the first trimester, when the uterus transitions from being confined within the pelvis to ascending into the abdominal cavity. As the pregnancy progresses, the rapid growth of the fetal tissues begins to push the uterus upward.

At approximately 12 weeks, the fundus, or the top of the uterus, can often be palpated just above the pubic symphysis during a clinical examination. This important landmark is used by healthcare providers to assess fetal development and uterine growth. Understanding this timing is crucial for midwives and obstetricians as it provides baseline information for evaluating pregnancy progression and gestational age.

Earlier gestational periods, such as at 8 weeks or 10 weeks, typically still have the uterus fully positioned within the confines of the pelvis, and it usually does not rise significantly until after 12 weeks. This knowledge is key in managing prenatal care and ensuring that both mother and fetus are monitored effectively as pregnancy advances.