Postpartum Hemorrhage and Lochia Management

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Questions and Answers

What is the expected progression of lochia after birth?

  • Alba (white) -> serosa (pink) -> rubra (red)
  • Serosa (pink) -> rubra (red) -> alba (white)
  • Rubra (red) -> alba (white) -> serosa (pink)
  • Rubra (red) -> serosa (pink) -> alba (white) (correct)

What is the most concerning sign that would require immediate medical attention after childbirth?

  • Lochia progressing from rubra to serosa
  • Lochia progressing from serosa to rubra
  • Lochia with an odorous smell
  • Lochia progressing from alba to heavy rubra (correct)

What is the recommended action if a steady trickle of bleeding is observed and the uterus (fundus) is firm and midline?

  • Perform an emergency cesarean section to control the bleeding
  • Monitor the patient closely and provide supportive care
  • Administer oxytocin to stop the bleeding
  • Suspect lacerations in the birth canal and inspect further (correct)

What is the most important aspect of postpartum education for new mothers?

<p>Importance of recognizing and seeking care for red flag symptoms (D)</p> Signup and view all the answers

What is the primary risk factor for postpartum hemorrhage that would require immediate intervention?

<p>Uterine atony (lack of uterine contraction) (D)</p> Signup and view all the answers

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