Difficulty: Medium
Average Score: 64%
Full-length
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:
Correct answer
D
Rationale
(A, B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.