NursingPlex
    Sign In
    Obstetricspediatrics proctored exam

    The nurse assesses a postpartum patient's discharge as being moderate in amount. How should the nurse document the appearance of the lochia?

    Explanation & Rationale

    A. Lochia alba: Lochia alba is a whitish or pale yellow discharge that occurs later in the postpartum period, usually after 10 to 14 days. It consists mainly of leukocytes and epithelial cells rather than blood. Moderate amounts of bloody discharge would not be expected at this stage. B. Lochia rubra: Lochia rubra is dark red and bloody in appearance and is expected during the first 3 to 4 days after delivery. A moderate amount of discharge with a blood-like color fits this description. This finding is consistent with normal early postpartum uterine involution. C. Lochia serosa: Lochia serosa appears pinkish-brown and typically occurs around days 4 to 10 postpartum. It contains serous fluid and fewer red blood cells than lochia rubra. The color and timing would not match a moderate amount of fresh blood. D. Lochia normalia: Lochia normalia is not a recognized clinical term used to describe postpartum uterine discharge. Postpartum lochia is classified as rubra, serosa, or alba based on color and timing.

    🔒 Submit your answer to reveal