NCLEX OB Postpartum Practice Test

Before performing a postpartum fundal assessment, the patient should void because a full bladder:

Full bladder facilitates palpation It displaces the uterus and makes the findings inaccurate It causes increased lochia It has no effect

Correct Answer:

It displaces the uterus and makes the findings inaccurate

Explanation:

A full bladder displaces the uterus, making the fundal assessment inaccurate. When the bladder is distended, the uterus is pushed upward and often to the side, so its height and position aren’t in their true midline location. Emptying the bladder allows the uterus to settle midline and be palpated at the expected level, giving an accurate read of involution and fundal firmness. This helps ensure you detect normal descent and any signs of uterine atony or hemorrhage.

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