On the second postpartum day, where does the nurse expect the fundus to be located?

On the second postpartum day, it is expected that the fundus will be located one or two fingerbreadths below the umbilicus. This expectation is based on the normal involution process of the uterus, where the fundus descends approximately one fingerbreadth per day after delivery. By the second day, the uterus is typically around the level of the umbilicus; however, it has started to descend into the pelvis, which places it slightly below.

Monitoring the location of the fundus is crucial for assessing uterine contraction and involution. If the fundus is higher than expected, it could indicate inadequate contraction, retained placental fragments, or other complications. Conversely, a fundus that is significantly lower than the expected level may suggest urinary retention or other post-delivery issues. This clinical knowledge helps guide nursing assessments and interventions during the postpartum period.