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    Ati Nur 225 Med Surg Health Assessment Proctored Exam

    Which finding would the nurse expect as a normal finding when assessing a postpartum client's uterus after delivery?

    Explanation & Rationale

    Rationale: A. Displaced to the left is incorrect because a postpartum uterus that is displaced laterally, usually to the right or left, often indicates a full bladder. A displaced uterus cannot contract effectively, increasing the risk of postpartum hemorrhage, so this is an abnormal finding. B. Above the umbilicus is incorrect because immediately after delivery, the uterus may be at or slightly above the umbilicus, but by 24 hours postpartum, it typically descends about 1 cm per day. A uterus significantly above the umbilicus 4–6 hours after birth is usually still within normal limits, but persistent elevation without involution may indicate uterine atony or retained placenta. C. Soft and boggy located midway between the symphysis pubis and the umbilicus is incorrect because a boggy uterus (uterine atony) is abnormal. It indicates the uterus is not contracting effectively, which can lead to excessive bleeding and requires immediate intervention such as fundal massage. D. Firm and midline is correct because a firm, midline uterus at or just below the umbilicus is the expected normal finding in the immediate postpartum period. A firm uterus indicates adequate uterine contraction and reduces the risk of hemorrhage. The nurse should continue to monitor for involution and signs of bleeding.

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