Question
On the 2nd postnatal day, where is the fundus of the uterus typically located on abdominal examination?
| A. |
1 fingerbreadth (1F) below the umbilicus |
| B. |
2 fingerbreadths (2F) below the umbilicus |
| C. |
3 fingerbreadths (3F) below the umbilicus |
| D. |
4 fingerbreadths (4F) below the umbilicus |
|
Correct Answer » B Explanation |
 |
Involution is the process where the postpartum uterus returns to pre-pregnancy size & position. It’s hormone-mediated, primarily by oxytocin, & crucial for ↓ postpartum bleeding & restoring uterine anatomy.
Fundal Height Pattern Post-Delivery:
– Delivery day: At/just below umbilicus
– Day 1: 1 fingerbreadth (1F) below
– Day 2: 2F below
– Day 3: 3F below
– Day 4: 4F below
– Day 10–14: Not palpable abdominally (descends into pelvis)
Note: 1 fingerbreadth ≈ 1 cm.
The clinical standard suggests uterus involutes ≈ 1 cm/day postpartum.