A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?
Explanation & Rationale
A. Fundus soft, 1 cm to the right of the umbilicus: A soft (boggy) fundus indicates uterine atony, which increases the risk of postpartum hemorrhage. Deviation to the right often suggests a full bladder, requiring assessment and intervention rather than being an expected finding. B. Fundus firm, at the level of the umbilicus: At 12 hours postpartum, it is expected for the uterus to be firm and approximately at the level of the umbilicus. A firm fundus indicates effective uterine contraction, which helps prevent excessive bleeding and supports normal involution. C. Fundus soft, 2 cm above the umbilicus: A soft, elevated fundus may signal uterine atony or retained placental fragments. This finding is abnormal and requires immediate nursing assessment and intervention to prevent hemorrhage. D. Fundus present, to the left of the umbilicus: Lateral displacement of the fundus, whether left or right, is often related to bladder distention and is not considered a normal postpartum finding. Assessment and bladder emptying are necessary.