A nurse is completing an 8-hr 1&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

C) Fundus firm, at the level of the umbilicus:
Twelve hours postpartum, the fundus should be firm, indicating ongoing uterine contraction, and it should be at the level of the umbilicus. This position and consistency indicate that the uterus is involuting properly, and bleeding risk is reduced.

A) Fundus soft, 1 cm to the right of the umbilicus:
A soft fundus located 1 cm to the right of the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

B) Fundus soft, 2 cm above the umbilicus:
A soft fundus located 2 cm above the umbilicus suggests that the uterus is not contracting adequately and may be at risk for postpartum hemorrhage. This finding is not expected 12 hours postpartum.

D) Fundus present, to the left of the umbilicus:
The location "to the left of the umbilicus" is not a normal position for the fundus postpartum. The fundus should be at or below the level of the umbilicus to indicate proper involution.

A) Massage a firm fundus:
After a vaginal delivery, it is essential for the nurse to massage the fundus to help it contract and prevent postpartum hemorrhage. Massaging a firm fundus helps to ensure that the uterus remains contracted, which reduces the risk of excessive bleeding.

B) Determine whether the fundus is midline:
Assessing the fundus to determine if it is midline is crucial after a vaginal delivery. A midline fundus suggests proper involution of the uterus. If the fundus is deviated from the midline, it may indicate uterine atony or other complications that need to be addressed.

C) Document fundal height:
While documenting fundal height is a routine part of postpartum assessment, it is not typically done immediately after delivery. Fundal height documentation is more relevant in the postpartum period when assessing uterine involution over time.

D) Observe the lochia during palpation of the fundus:
Observing the lochia (vaginal discharge after childbirth) during palpation of the fundus is important to assess for the amount, color, and consistency of lochia. This helps the nurse to monitor for signs of postpartum bleeding and assess the progression of involution.

E) Administer methylergonovine maleate if the uterus is boggy:
If the uterus feels boggy (indicating uterine atony), the nurse should administer uterotonic medication, such as methylergonovine maleate, to promote uterine contraction and prevent postpartum hemorrhage.