CPM Certified Professional Midwife

Category - The Postpartum Period

A midwife is teaching a group of pregnant women about the characteristics of the different types of lochia. Which of the following statements made by one of the women indicates that further teaching is necessary?
  1. “Lochia rubra mainly consists of blood.”
  2. “The lochia consists of blood, mucus and some bacteria.”
  3. “Lochia serosa occurs 4 to 10 days after birth.”
  4. “Lochia alba is mainly composed of blood and leukocytes.”
Explanation
Answer: D - Lochia alba is mainly composed of mucus and leukocytes; it has fewer blood cells than other types of lochia. It is white or yellowish white in color. Lochia serosa, on the other hand, consists of blood, mucus and invading leukocytes. The other options are all correct statements about types of lochia.
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