Podcast
Questions and Answers
What is the primary composition of lochia rubra?
What is the primary composition of lochia rubra?
- Mucus and tissue
- Blood only
- Mucus only
- Blood primarily (correct)
During which stage of lochia is the discharge pinkish in color?
During which stage of lochia is the discharge pinkish in color?
- Uterine atony
- Lochia serosa (correct)
- Lochia alba
- Lochia rubra
Which of the following is a key sign of lacerations leading to early postpartum hemorrhage?
Which of the following is a key sign of lacerations leading to early postpartum hemorrhage?
- Continuous trickle of bright red blood (correct)
- High and displaced uterine fundus
- Heavy lochia with large clots
- Signs of hypovolemic shock
How long does lochia alba last after childbirth?
How long does lochia alba last after childbirth?
What symptom can be associated with uterine atony?
What symptom can be associated with uterine atony?
In the context of hematoma, what color is the blood that often emerges?
In the context of hematoma, what color is the blood that often emerges?
What volume of lochia corresponds with a large blood stain greater than 6 inches?
What volume of lochia corresponds with a large blood stain greater than 6 inches?
What condition is characterized by a soft, high uterine fundus and heavy lochia, possibly with large clots?
What condition is characterized by a soft, high uterine fundus and heavy lochia, possibly with large clots?
What color is lochia alba typically described as?
What color is lochia alba typically described as?
What might indicate signs of hypovolemic shock in the context of postpartum hemorrhage?
What might indicate signs of hypovolemic shock in the context of postpartum hemorrhage?
Flashcards
What is lochia rubra?
What is lochia rubra?
The initial stage of vaginal discharge after childbirth, lasting about 3 days. It's red in color due to the presence of blood.
What is lochia serosa?
What is lochia serosa?
The second stage of vaginal discharge after childbirth, lasting from the 3rd to the 10th day. It's pinkish due to a mix of blood and mucus.
What is lochia alba?
What is lochia alba?
The final stage of vaginal discharge after childbirth, lasting from the 10th to the 21st day. It's primarily composed of mucus and is typically white or clear.
What is uterine atony?
What is uterine atony?
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What is a laceration during childbirth?
What is a laceration during childbirth?
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What is a hematoma after childbirth?
What is a hematoma after childbirth?
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What is the lochia amount scale?
What is the lochia amount scale?
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What is postpartum hemorrhage?
What is postpartum hemorrhage?
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What is the uterine fundus?
What is the uterine fundus?
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What is hypovolemic shock?
What is hypovolemic shock?
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Study Notes
Lochia
- Lochia is the discharge after childbirth
- Lochia rubra: red discharge, mostly blood, lasts 3 days
- Lochia serosa: pinkish discharge, blood and mucus, lasts 3-10 days
- Lochia alba: mostly mucus, clear/colorless/white, lasts 10-21 days
Postpartum Hemorrhage
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Types of early postpartum hemorrhage:
- Uterine atony: soft, high fundus, difficult to feel through abdominal wall, heavy lochia or large clots, bladder distention, high uterus usually displaced to one side. Possible signs of hypovolemic shock
- Lacerations: continuous trickle of blood, brighter than normal lochia, firm fundus
- Hematoma: soft, high, potentially difficult to feel through woman's abdominal wall, heavy lochia, often with large clots or sometimes a persistent moderate flow, bladder distention, high uterus usually displaced to one side, Possible signs of hypovolemic shock.
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Signs and Symptoms of hypovolemic shock:
- Tachycardia (fast heart rate)
- Pale skin
- Confusion
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