If the fundus is deviated to the right postpartum, what should the nurse do first?

• A. Reassess the fundus
• B. Empty the bladder
• C. Notify the physician
• D. Administer fluids

Answer: (B)

When assessing the postpartum fundus, a deviation to the right often indicates that the bladder may be distended, which can push the uterus off its midline position. The first and most appropriate intervention in this situation is to address the bladder. By encouraging the patient to empty her bladder, you can help the uterus return to its normal position. This action not only aids in proper uterine contraction but also reduces the risk of complications such as uterine atony, which can lead to hemorrhage.

While reassessing the fundus is important, doing so before addressing a potential bladder distension could lead to unnecessary concerns about uterine tone or positioning that may resolve once the bladder is emptied. Notification of the physician or administering fluids may also be necessary later but are not immediate priorities without first addressing the likely cause of the deviation. Therefore, facilitating the bladder's emptying is the most effective and logical first step in this scenario.