A multiparous client delivered a 7 lb 10 oz infant 5 hours ago. The uterus is boggy and displaced above and to the right of the umbilicus. What action should the nurse implement next?

• A. Document the color of the lochia.
• B. Observe maternal vital signs.
• C. Assist the client to the bathroom.
• D. Notify the healthcare provider.

Answer: (C)

A displaced, boggy uterus after delivery is most often caused by bladder distention. A full bladder pushes the uterus upward and to the side, interfering with its ability to contract and stay firm. The immediate, most effective action is to help the client empty her bladder by assisting her to the bathroom. Once the bladder is emptied, the uterus typically moves toward the midline and regains tone, reducing the risk of postpartum hemorrhage. After voiding, the nurse should reassess the fundus and continue with appropriate measures if the uterus remains boggy (such as fundal massage and uterotonics as ordered). While documenting lochia, monitoring vital signs, or notifying the provider are important steps, they do not address the underlying cause of a boggy, displaced uterus in this moment.