What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?
Explanation & Rationale
A. Relaxed with its upper border two or three fingerbreadths below the umbilicus: A relaxed (boggy) fundus increases the risk of postpartum hemorrhage. Immediately after delivery, the uterus should be firm, not boggy, to ensure proper contraction and minimize bleeding. B. Well-contracted with its upper border at or just below the umbilicus: Immediately postpartum, the uterus is expected to be firm and at or just below the level of the umbilicus. This indicates effective contraction, which is essential for controlling postpartum bleeding and initiating uterine involution. C. Relaxed with its upper border level with the umbilicus: A soft fundus at the level of the umbilicus suggests uterine atony, which is abnormal and requires prompt intervention to prevent hemorrhage. D. Well-contracted with its upper border three or four fingerbreadths above the umbilicus: The fundus is not expected to be this high immediately after delivery. A significantly elevated fundus may indicate a full bladder or retained products of conception and requires assessment.