A nurse is collecting data from a client who is 3 hr postpartum.
The nurse notes that the client’s fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.
Which of the following actions should the nurse take?

Choice A rationale

It is incorrect to say that birth control is not needed for at least six months. Ovulation can occur much sooner, and contraception should be discussed early.

Choice B rationale

Most people do not need birth control for three months is also incorrect. Ovulation can resume as early as three weeks postpartum.

Choice C rationale

Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.

Choice D rationale

Agreeing with the statement is incorrect and can lead to misinformation. It is important to provide accurate information about postpartum ovulation and contraception.

Choice A rationale

Inserting a urinary catheter is not the first action to take when the fundus is displaced to the right of midline. The displacement is often due to a full bladder, and the client should be encouraged to void first.

Choice B rationale

Massaging the fundus is appropriate if the uterus is boggy, but in this case, the fundus is firm. The displacement is likely due to a full bladder.

Choice C rationale

Having the client urinate is the correct action. A full bladder can displace the uterus and prevent it from contracting properly, which can lead to postpartum hemorrhage.

Choice D rationale

Administering analgesia is not relevant to the issue of a displaced fundus. The priority is to address the cause of the displacement, which is likely a full bladder.