The nurse is assessing a woman on her second postpartum day. Her fundus is palpated midline, 1 cm below the umbilicus. Her bladder is not palpable. The correct conclusion based on these findings is that her:
a. Fundus is descending normally.
b. Bladder is positioned behind the uterus.
c. Bladder is displacing the uterus upward.
d. Uterus is not contracting as well as it should.
ANS: A
At delivery, the fundus is above the umbilicus. Each day, it descends approximately 1 cm until it returns to the normal position in the pelvis. On the first postpartum day, you would expect the fundus to be near or just below the umbilicus. If the bladder were distended, it would displace the uterus upward and away from the midline.
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