ATI Postpartum Practice Test

On the first postpartum day, the fundus is typically at the level of which landmark?

Umbilicus Slightly Above Umbilicus Pubic Symphysis Midline Between Umbilicus and Pelvis

Correct Answer:

Umbilicus

Explanation:

The main idea here is postpartum fundal height as a measure of uterine involution. On the first day after birth, the uterus should still be at the level of the umbilicus, indicating that involution is just beginning and the uterus is returning toward its pre-pregnant size. It then descends about 1 cm per day in the days that follow. A full bladder can push the fundus upward, so if it isn’t at the expected height, checking for bladder distention is important. The other landmarks describe positions that aren’t typical for the first postpartum day.

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