Where should the nurse expect the height of the uterine fundus to be located after delivery?

After delivery, the expected location of the uterine fundus is typically at the level of the umbilicus. This occurs approximately 24 hours postpartum when the uterus begins to contract and descend into the pelvis following the expulsion of the placenta. The position at the umbilicus is significant because it indicates that the uterus is effectively responding to the involution process.

Involution is the process where the uterus returns to its pre-pregnancy size and position. By the end of the first day postpartum, it is common for the fundus to be palpable at the umbilicus, indicating that the uterus is shrinking appropriately. If the fundus is above the umbilicus, it may suggest that the uterus is not contracting effectively or that there may be retained placental tissue. Conversely, if the fundus is below the pubic symphysis, it would be concerning as it could indicate uterine atony or a delay in uterine involution. Being mindful of these positions can help nurses assess the mother's recovery and intervene if there are deviations from expected norms.