In what position should a postpartum client be to perform a fundal massage?

For a postpartum client to effectively perform a fundal massage, the optimal position is on her back with knees flexed. This position allows for full access to the abdomen and the uterus, providing the caregiver with the best angle to locate the fundus and apply appropriate pressure during the massage.

By flexing the knees, the client can relax the abdominal muscles, making it easier to palpate the uterus and promote uterine contractions, which are important for preventing hemorrhage and facilitating the involution process after childbirth. This position also maintains comfort and stability for the patient, allowing for the procedure to be performed safely and effectively.

Other positions, such as sitting upright, standing, or lying on the side, would hinder optimal access to the uterus and may not provide the same level of effectiveness or comfort needed for fundal massage.