Question

A post-partum client's fundus is firm, 3 cm above the umbilicus and displaced to the right. Which of the following interventions should the nurse take?

a) Administer pain medication
b) Document findings as normal
c) Assist with bladder emptying
d) Apply a heating pad

Answer 1

The nurse should assist with bladder emptying if a post-partum client has a fundus that is firm, 3 cm above the umbilicus, and displaced to the right. This is to help the uterus return to its normal position and facilitate the process of involution.

Step-by-step explanation:

If a post-partum client's fundus is firm, located 3 cm above the umbilicus, and displaced to the right, the appropriate nursing intervention would be to assist with bladder emptying. This displacement is most likely due to a full bladder, which can push the uterus to the side and interfere with its ability to contract properly. Emptying the bladder helps the uterus return to its normal position and can reduce the risk of postpartum hemorrhage.

It is crucial in postpartum care that the obstetrician ensures that the placenta and fetal membranes are intact after delivery to prevent complications such as postpartum hemorrhage. Furthermore, involution occurs as the uterus contracts and returns to its pre-pregnancy size, a process that is supported by breastfeeding.