بعد الولادة بـ ٦ ساعات، قاع الرحم صلب لكن فوق السرة بـ ٢ سم ومائل لليمين. ما التصرف الأول؟

Six hours after birth the fundus is firm but 2 cm above the umbilicus and deviated to the right. What is the first action?

1. Give oxytocin
2. Vigorous fundal massage
3. Help her empty her bladder
4. Notify the provider immediately

Answer: C) Help her empty her bladder. A firm, high, displaced fundus usually means a full bladder, which prevents uterine contraction and increases bleeding.