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Questions and Answers
Which of the following is true about lochia alba?
Which of the following is true about lochia alba?
- It is characterized by a moderate amount and contains cholesterol crystals and some bacteria
- It is characterized by a minimal amount and contains cervical mucus and epithelial cells
- It is characterized by a foul odor and contains uterine atony
- It is characterized by a scanty amount and contains leukocytes, decidua, and fat (correct)
What is the typical condition of the vagina after delivery?
What is the typical condition of the vagina after delivery?
- Smooth and swollen, with poor tone (correct)
- Rough and dry, with increased tone
- Edematous and bruised, with poor tone
- Flaccid and atrophied, with increased tone
What influences the resumption of menstruation in postpartum women?
What influences the resumption of menstruation in postpartum women?
- Uterine involution
- Ovulation and breastfeeding (correct)
- Elevated cholesterol levels
- Presence of leukocytes in lochia
What is the characteristic change in the cervical os after childbirth?
What is the characteristic change in the cervical os after childbirth?
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What is a typical feature of the perineum after delivery?
What is a typical feature of the perineum after delivery?
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Study Notes
Postpartum Care
- Refers to medical and nursing care given to a woman during the puerperium, a 6-week period after delivery, from labor termination to the return of reproductive organs to a nonpregnant state.
Postpartum Biophysical Changes
Uterus
- Involution process takes 4 to 6 weeks to complete
- Weight decreases from 21 lbs to 2 oz
- Fundus steadily descends into the true pelvis
- Fundal height decreases about 1 fingerbreadth (1 cm) per day
- By 10 to 14 days postpartum, the fundus cannot be palpated abdominally
Lochia
- Discharge from the uterus during the first 3 weeks after delivery
- Types of lochia:
- Lochia Rubra: dark red discharge occurring in the first 2 to 3 days
- Contains epithelial cells, erythrocytes, and decidua
- Characteristic human odor
- Lochia Serosa: pinkish to brownish discharge occurring 3 to 10 days after delivery
- Serosangineous discharge containing decidua, erythrocytes, leukocytes, cervical mucus, and microorganisms
- Strong odor
- Lochia Alba: almost colorless to creamy yellowish discharge occurring from 10 days to 3 weeks after delivery
- Lochia Rubra: dark red discharge occurring in the first 2 to 3 days
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