NCLEX Antepartum and Intrapartum Practice Test 2025 – Complete Exam Prep Guide

When evaluating uterine recovery in a postpartum client, it's essential to monitor the position of the uterus relative to expected levels. A finding that indicates a need for further intervention is if the uterus is located above the expected level. After childbirth, the uterus is expected to involute, typically descending in the abdomen and becoming firmer over the first few days. If the uterus is higher than anticipated, it may suggest issues such as uterine atony (an inability of the uterus to contract effectively), retained placental fragments, or distention from a full bladder. These conditions can lead to complications like excessive bleeding or infection, requiring immediate assessment and possible intervention.

The firmness of the uterus, minimal lochia rubra, and a lack of increase in fundal height are all signs of normal healing and recovery. Therefore, while the other findings reflect appropriate postpartum recovery, the uterus being above the expected level signals a potential problem that needs to be addressed.