At 12 hours postpartum, which location should the nurse expect to palpate the fundus?

• A. At the level of the umbilicus
• B. 2 cm below the umbilicus
• C. Approximately 1 cm above the umbilicus
• D. At the symphysis pubis

Answer: (C)

Involution of the uterus after birth means the fundus stays firm and midline while descending gradually. It’s expected to be at the level of the umbilicus right after delivery and then descend about 1 cm per day. At about 12 hours postpartum, the fundus is typically at or just above the umbilicus—commonly about 1 cm higher than the umbilicus.

If you palpate a fundus that’s higher than expected or boggy, consider bladder distention as a cause and perform a gentle fundal massage to firm it. Ensure the uterus remains midline and note any persistent softness, which could indicate risk for hemorrhage.