What is the initial step the nurse should take if a client's uterus is deviated to the right after delivery?

When a client's uterus is deviated to the right after delivery, the initial step a nurse should take is to assist the client in emptying her bladder. A full bladder can displace the uterus, causing it to deviate. This is important because proper uterine placement is essential for effective uterine contraction postpartum and to prevent complications such as postpartum hemorrhage.

By helping the client to empty her bladder, the nurse addresses a common and easily correctable cause of uterine deviation. Once the bladder is emptied, the uterus may return to its normal midline position, which can facilitate appropriate uterine tone and reduce the risk of complications associated with uterine atony.

Other options, such as providing emotional support, preparing for surgical intervention, or administering medication, do not address the immediate anatomical issue causing the deviation. While emotional support is always important, it should follow addressing the physical condition. Surgical intervention and medication may be considered later if the uterine position does not correct after bladder emptying, but they are not the first steps in responding to a deviated uterus.