Which of the following reflects the normal sequence of postpartum vaginal discharge?
Lochia alba, lochia rubra, lochia serosa.
Lochia serosa, lochia alba, lochia rubra.
Lochia rubra, lochia alba, lochia serosa.
Lochia rubra, lochia serosa, lochia alba.
The Correct Answer is D
The normal sequence of postpartum vaginal discharge, known as lochia, follows this order:
D. Lochia rubra, lochia serosa, lochia alba.
Here's a quick breakdown:
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Lochia rubra (Days 1–4): Bright red discharge with blood, mucus, and tissue.
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Lochia serosa (Days 4–10): Pinkish or brownish discharge as bleeding slows.
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Lochia alba (Days 10–6 weeks): Yellowish-white discharge as the body completes healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. Which of the following statements should the nurse tell the client? The correct answer is choice D: "You will need an immunization following delivery.”.
Choice A rationale:
"You had the rubella infection as a child.”. This statement is incorrect. A negative rubella titer indicates that the client is not immune to rubella. Even if the client had the infection as a child, it does not guarantee immunity for life. Immunity can wane over time, and some individuals may not have developed sufficient immunity after a natural infection.
Choice B rationale:
"I will administer the rubella immunization to you today.”. This statement is not recommended. Rubella vaccination is a live attenuated vaccine, and it is generally contraindicated during pregnancy due to the theoretical risk of transmission to the fetus. Rubella vaccination is usually recommended postpartum if the woman is not immune. The nurse should not administer the vaccine during pregnancy.
Choice C rationale:
"You are immune to rubella.”. This statement is incorrect. A negative rubella titer clearly indicates that the client is not immune to rubella. It's crucial for healthcare providers to provide accurate information to the client and ensure that appropriate immunization is administered postpartum to protect both the mother and the newborn.
Correct Answer is D
Explanation
Choice A rationale:
Urinary retention is not a typical sign preceding the onset of labor. It's important to provide accurate information to the client, and this statement is not relevant to signs of impending labor.
Choice B rationale:
A decrease in vaginal discharge is not a typical sign preceding the onset of labor. The client should be informed about changes in cervical mucus, which is part of the mucus plug, but a decrease in vaginal discharge is not a specific indicator of impending labor.
Choice C rationale:
Experiencing a surge of energy is not a typical sign preceding the onset of labor. Some clients may report increased energy before labor, but it's not a reliable indicator for all.
Choice D rationale:
Having a weight gain of 0.5 to 1.5 kilograms is a sign that precedes the onset of labor. This weight gain is often attributed to increased amniotic fluid or edema and is associated with impending labor. This choice is the correct answer.
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