Which of the following initial nursing actions has to be taken before performing fundal assessment on a post-partum client?

Correct option is C

Ans. (c) Sol. Before performing a fundal assessment, the mother should empty her bladder to prevent displacement of the uterus, as a full bladder can interfere with the assessment and affect uterine tone.
Explanation of each option:
· (a) Ask the mother to turn to her side. – Incorrect. The mother is typically positioned supine for the assessment, but turning to the side is not required.
· (b) Ask the mother to lie flat on her back with the knees and legs flat and straight. – Incorrect. While the mother needs to lie flat on her back, the knees and legs do not need to be completely straight for the assessment.
· (c) Ask the mother to empty her bladder. – Correct. A full bladder may distort the position of the uterus, making the fundal assessment inaccurate.
· (d) Massage the fundus gently before determining the level of the fundus. – Incorrect. The fundus should not be massaged before the assessment; gentle palpation should be performed to determine its position and tone.