A nurse is caring for a client who had a vaginal birth 4 hr ago and had a 3rd-degree perineal laceration with repair. The client has been unable to void since giving birth. Which of the following findings indicates the need for straight catheterization?

A. A pain rating of 3 is relatively mild and does not indicate urinary retention. B. A boggy, deviated fundus suggests bladder distention, which can occur when the bladder is full and displaces the uterus. This is an indication for straight catheterization to relieve urinary retention. C. Moderate lochia rubra is expected 4 hours postpartum and does not indicate urinary retention. D. While edema and bruising are common after delivery, they do not alone indicate a need for catheterization.