Two hours after delivery, the uterine fundus is found to be deviated from midline. What should the nurse encourage the woman to do?

When the uterine fundus is found to be deviated from the midline two hours after delivery, it is often an indication that the bladder may be distended. A full bladder can displace the uterus, leading to concerns such as uterine atony and increased bleeding. Encouraging the woman to void helps to empty the bladder, which can allow the fundus to return to its proper position in the midline of the abdomen.

This action is significant because a well-contracted uterus is essential for postpartum recovery and prevention of complications. By voiding, the mother can help ensure that her uterus functions effectively and reduces the risk of hemorrhage or retained placental fragments.

While evaluating for infection or notifying a physician may be important in certain scenarios, they are not immediate actions for correcting a deviated fundus, especially in this context where bladder fullness is a likely cause. Flexing the legs might not address the underlying issue of bladder pressure on the uterus, making voiding the most appropriate action to encourage in this situation.