NUR 2407 FINAL PAPER EXAMPREP
COMPLETE QUESTIONS AND ANSWERS
VIEW AHEAD STUDY SHEET
◉ The nurse teaches Caitlin that the lochia will change in appearance
as the lining of the uterus heals. Place the stages of lochia in order of
appearance over the 6 week postpartum period.
a. rubra
b. serosa
c. alba. Answer: a. rubra
b. serosa
c. alba
Rationale: As the placenta site heals, the lochia color changes from
rubra (red), to serosa (brownish pink), to alba (white or yellowish
white).
◉ Match each stage of lochia with the composition of the lochia at
that stage:
Stages: rubra, serosa, alba
Composition:
- leukocytes, epithelial cells, fat, mucus, and microorganisms
- primarily blood
-serous exudate, erythrocytes, leukocytes, and cervical mucus.
Answer: Rubra: primarily blood
, Serosa: serous exudate, erythrocytes, leukocytes, cervical mucus
Alba: leukocytes, epithelial cells, fat, mucus, microbes
Rationale: Lochia rubra is primarily blood coming from the fresh
wound on the uterine wall where the placenta was attached. As
healing begins, lochia serosa appears, which contains less blood and
more serous exudate, erythrocytes, leukocytes, and cervical mucus.
The final stage is lochia alba, which is made up of leukocytes,
epithelial cells, fat, mucus, and microbes as the normal flora of the
reproductive tract is reestablished.
◉ The nurse teaches Caitlin that she needs to contact her midwife if
which change occurs in her lochia?
A. The amount is decreasing each day.
B. The lochia looks brownish-pink on the fifth day.
C. There is a return to red bleeding.
D. There is a slightly increased amount during breastfeeding..
Answer: C. There is a return to red bleeding.
Rationale: Lochia is a sign of healing. As part of the healing process,
it's expected that lochia will be rubra until about the fifth day, when it
turns to serosa. If go back to red blood after signs of healing have
happened, there might be a new or reinjured area on the uterine wall.
This sort of thing is frequently caused by the detachment of a retained
placental fragment. If the bleeding is heavy, the patient should contact
her provider. It is normal for the amt to decrease every day, and bc
breastfeeding does cause uterine contractions, it's expected that'll
cause an associated increase in lochia dc for the first couple weeks.
Color should not change w breastfeeding tho.
COMPLETE QUESTIONS AND ANSWERS
VIEW AHEAD STUDY SHEET
◉ The nurse teaches Caitlin that the lochia will change in appearance
as the lining of the uterus heals. Place the stages of lochia in order of
appearance over the 6 week postpartum period.
a. rubra
b. serosa
c. alba. Answer: a. rubra
b. serosa
c. alba
Rationale: As the placenta site heals, the lochia color changes from
rubra (red), to serosa (brownish pink), to alba (white or yellowish
white).
◉ Match each stage of lochia with the composition of the lochia at
that stage:
Stages: rubra, serosa, alba
Composition:
- leukocytes, epithelial cells, fat, mucus, and microorganisms
- primarily blood
-serous exudate, erythrocytes, leukocytes, and cervical mucus.
Answer: Rubra: primarily blood
, Serosa: serous exudate, erythrocytes, leukocytes, cervical mucus
Alba: leukocytes, epithelial cells, fat, mucus, microbes
Rationale: Lochia rubra is primarily blood coming from the fresh
wound on the uterine wall where the placenta was attached. As
healing begins, lochia serosa appears, which contains less blood and
more serous exudate, erythrocytes, leukocytes, and cervical mucus.
The final stage is lochia alba, which is made up of leukocytes,
epithelial cells, fat, mucus, and microbes as the normal flora of the
reproductive tract is reestablished.
◉ The nurse teaches Caitlin that she needs to contact her midwife if
which change occurs in her lochia?
A. The amount is decreasing each day.
B. The lochia looks brownish-pink on the fifth day.
C. There is a return to red bleeding.
D. There is a slightly increased amount during breastfeeding..
Answer: C. There is a return to red bleeding.
Rationale: Lochia is a sign of healing. As part of the healing process,
it's expected that lochia will be rubra until about the fifth day, when it
turns to serosa. If go back to red blood after signs of healing have
happened, there might be a new or reinjured area on the uterine wall.
This sort of thing is frequently caused by the detachment of a retained
placental fragment. If the bleeding is heavy, the patient should contact
her provider. It is normal for the amt to decrease every day, and bc
breastfeeding does cause uterine contractions, it's expected that'll
cause an associated increase in lochia dc for the first couple weeks.
Color should not change w breastfeeding tho.
