A nurse is caring for a client who experience a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?

A. Massage the fundus: Fundal massage is indicated when the uterus is boggy to promote uterine contraction and prevent postpartum hemorrhage. In this case, the fundus is already firm, indicating adequate uterine tone. Massaging a firm uterus is unnecessary and does not address the cause of displacement. B. Insert a urinary catheter: Bladder distention can displace the uterus to the right and above the expected level. Although catheterization may be needed if the client cannot void, the initial intervention should be less invasive. Encouraging spontaneous voiding is preferred before proceeding to catheter insertion. C. Have the client urinate: A firm uterus that is displaced from midline and elevated suggests bladder distention. Having the client urinate helps relieve bladder fullness, allowing the uterus to return to the midline and descend appropriately. This intervention directly addresses the likely cause of the abnormal fundal position. D. Administer an analgesic: Analgesics may help manage postpartum discomfort but do not correct uterine displacement or bladder distention. Pain control does not influence uterine position or fundal height in this situation. Addressing bladder emptying is the priority intervention.