Nursing Interventions for Lochia

Nursing Interventions for Lochia ( 12 Questions)

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client.

Which of the following findings should the nurse report as abnormal?



Correct Answer: D

The correct answer is choice D. Large clots on day 3 postpartum. This is because large clots indicate excessive bleeding and may be a sign of postpartum hemorrhage, which is a rare but potentially fatal condition that requires immediate medical attention.

Choice A is wrong because lochia rubra, which is dark or bright red blood, is normal for the first three to four days after birth.

Choice B is wrong because lochia serosa, which is pinkish brown discharge that’s less bloody looking, is normal for four to 12 days after birth.

Choice C is wrong because lochia alba, which is yellowish white discharge with little to no blood, is normal from about 12 days to six weeks after birth.

Normal ranges for lochia are:

• Lochia rubra: lasts for three to four days, flows like a heavy period, small clots are normal.

• Lochia serosa: lasts for four to 12 days, flow is moderate, less clotting or no clots.

• Lochia alba: lasts from about 12 days to six weeks, light flow or spotting, no clots.




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