Which assessment finding would be concerning for a client who has just delivered if the fundus is 3 cm above the umbilicus?

In the context of postpartum assessment, a fundus that is located 3 cm above the umbilicus indicates that it may not be returning to its normal position effectively. During the postpartum period, a well-contracted uterus should ideally be at or below the level of the umbilicus within the first few days after delivery. When the fundus is higher than expected, it may suggest the presence of factors that impede uterine involution, one of which is bladder distention.

Bladder distention can push the uterus upward and forward, preventing it from contracting properly. This scenario raises concern because a displaced fundus can lead to an increased risk of hemorrhage, which is a significant complication in the postpartum period. Therefore, identifying signs of bladder distention should prompt immediate assessment and intervention to ensure the safety and well-being of the client.