Question

The nurse is checking lochia discharge in a woman in the immediate postpartum period. The nurse notes that the lochia is bright red and contains some small clots. Based on these data, the nurse should make which interpretation?

A. Normal lochia
B. Prolonged bleeding
C. Lochia with infection
D. Lochia with retained placental fragment

Answer 1

The presence of bright red lochia with small clots in the immediate postpartum period is considered normal, known as lochia rubra. It typically lasts for 2-3 days before transitioning to other stages of lochia. However, monitoring for excessive bleeding or infection is important.

Step-by-step explanation:

When a nurse observes lochia rubra (bright red lochia) with some small clots in a woman in the immediate postpartum period, this is generally considered a normal lochia. During the first 2-3 days postpartum, lochia rubra is expected. This discharge is composed of uterine lining cells, erythrocytes (red blood cells), leukocytes (white blood cells), and other debris. As the postpartum period progresses, the lochia changes from rubra to serosa (a pinkish discharge) by about the tenth day, and eventually to alba (a whitish discharge).

It is crucial for healthcare professionals to ensure that the placenta and fetal membranes are intact after delivery. Retained placental fragments can lead to complications such as postpartum hemorrhage. Therefore, if there is suspicion of retained fragments due to abnormal bleeding patterns or amount, further investigation is needed. While the presence of small clots can occur with normal lochia, it is important to monitor the patient for any signs of excessive bleeding or infection.