A postpartum nurse identifies that a woman's fundus is above expected level and shifted to the right. What should the nurse initially do?

The correct response is to help the woman empty her bladder. In the immediate postpartum period, if the fundus is found to be above the expected level and shifted to the right, it typically indicates that the bladder is full and distended. A full bladder can cause the uterus to deviate from its optimal position, leading to complications such as uterine atony, which can increase the risk of postpartum hemorrhage. Assisting the woman in emptying her bladder can help return the fundus to its normal position and promote uterine involution.

Addressing bladder fullness promptly is essential in postpartum care, as it ensures the uterus can contract effectively and reduces the likelihood of excessive bleeding. This action focuses on the underlying cause of the problem, rather than just addressing the symptoms.