A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

A. Less than 2.5 cm of rubra lochia on perineal pad: This finding reflects normal early postpartum bleeding and does not indicate bladder distention. It relates to uterine involution rather than urinary status. B. Client report of increased thirst: Thirst may occur postpartum due to fluid shifts or breastfeeding but is not a reliable indicator of bladder distention. C. Fundus palpable to right of midline: A fundus displaced from the midline often indicates bladder distention, as a full bladder can push the uterus laterally and prevent proper contraction, increasing the risk of postpartum hemorrhage. D. Client report of frequent uterine contractions: Frequent contractions are part of normal uterine involution and are not specific to bladder distention. While bladder distention can affect uterine tone, the primary indicator is the lateral displacement of the fundus.