Postpartum Care and Complications
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Questions and Answers

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?

  • Uterine atony
  • Lochia serosa (correct)
  • Lochia alba
  • Lochia rubra
  • 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?

    <p>From 10 to 21 days</p> Signup and view all the answers

    What symptom can be associated with uterine atony?

    <p>Soft, high uterine fundus</p> Signup and view all the answers

    In the context of hematoma, what color is the blood that often emerges?

    <p>Bright red</p> Signup and view all the answers

    What volume of lochia corresponds with a large blood stain greater than 6 inches?

    <p>50-80 mL</p> Signup and view all the answers

    What condition is characterized by a soft, high uterine fundus and heavy lochia, possibly with large clots?

    <p>Uterine atony</p> Signup and view all the answers

    What color is lochia alba typically described as?

    <p>White or clear</p> Signup and view all the answers

    What might indicate signs of hypovolemic shock in the context of postpartum hemorrhage?

    <p>Gradually developed symptoms</p> Signup and view all the answers

    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

    • 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.
    • Signs and Symptoms of hypovolemic shock:

      • Tachycardia (fast heart rate)
      • Pale skin
      • Confusion

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    Description

    Explore the crucial aspects of lochia and postpartum hemorrhage in this informative quiz. Understand the different stages of lochia, signs of postpartum hemorrhage, and recognize the symptoms of hypovolemic shock. Perfect for nursing students and healthcare professionals.

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