When assessing the fundus 2 days postpartum, which statement describes the typical fundal position?

When assessing the fundus 2 days postpartum, which statement describes the typical fundal position?

• A. The fundus should be located 5 cm above the umbilicus.
• B. The fundus should be located 3 cm below the umbilicus.
• C. The fundus should not be palpable.
• D. The fundus should be at the pubic symphysis.

Answer: (B)

Fundal involution after delivery drives the uterus to descend about 1 cm per day from the level of the umbilicus. By around 48 hours postpartum, the fundus is typically a few centimeters below the umbilicus. Saying the fundus is about 3 cm below the umbilicus fits the expected position at this time, reflecting normal descent as the uterus returns toward its nonpregnant size. It’s also important that the fundus remains midline and firm; a boggy or displaced fundus would indicate different concerns.

Fundal involution after delivery drives the uterus to descend about 1 cm per day from the level of the umbilicus. By around 48 hours postpartum, the fundus is typically a few centimeters below the umbilicus. Saying the fundus is about 3 cm below the umbilicus fits the expected position at this time, reflecting normal descent as the uterus returns toward its nonpregnant size. It’s also important that the fundus remains midline and firm; a boggy or displaced fundus would indicate different concerns.