During the first assessment on the postpartum unit, where would the nurse palpate the fundus?

• A. 3 cm above the umbilicus.
• B. 1 cm above the umbilicus.
• C. To the right of the umbilicus.
• D. Midway between the umbilicus and the pubic bone.

Answer: (B)

After delivery the uterus begins involution and moves downward in the abdomen as it contracts. In the first postpartum assessment, the fundus is typically felt as a firm, midline mass about one fingerbreadth (roughly 1 cm) above the umbilicus. This position reflects normal early descent and ongoing contraction, indicating the uterus is responding appropriately after birth. Palpate by locating the midline of the abdomen and tracing upward from the pubic area to feel for a firm, rounded fundal mass; ensure it’s in the midline and firm. If the fundus were displaced to one side or felt boggy, that could signal bladder distention or atony, and if it stayed markedly higher than expected, additional assessment would be warranted.