Which of the following assessments would warrantnotification of the - ProProfs Discuss
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Which of the following assessments would warrant notification of the physician? The nurse assesses the postpartum vaginal discharge (lochia) on four clients.



A. A dark red discharge on a 2-day postpartum client
B. A pink to brownish discharge on a client who is 5 days postpartum
C. Almost colorless to creamy discharge on a client 2 weeks after delivery
D. A bright red discharge 5 days after delivery
Asked by Bradon on Sep 08, 2016

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2 Answers

W. Pratt

Want to learn new things and share my knowledge

W. Pratt
Marketing Analyst, MBA, Lincoln

Answered on Jan 17, 2019

The answer to this is D. There is no reason why a woman should panic about vaginal discharge as this is considered to be common days after the delivery. What makes this alarming is the fact that it has happened five days after the delivery. The bright red discharge is common for up to 24 hours after the delivery.

After that, the dark red discharge will occur. The bright red discharge may signify that there is internal hemorrhage. The patient may be suffering from a bleeding disorder or there may be placental fragments that will show that there is something wrong. The physician should be notified immediately so that proper treatment can be available.

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John Smith

John Smith

Answered on Sep 08, 2016

A bright red discharge 5 days after delivery-any bright red vaginal discharge would be considered abnormal, but especially 5 days after delivery, when the lochia is typically pink to brownish. lochia rubra, a dark red discharge, is present for 2 to 3 days after delivery. bright red vaginal bleeding at this time suggests late postpartum hemorrhage, which occurs after the first 24 hours followingdelivery and is generally caused by retained placental fragments or bleeding disorders. lochia rubra is the normal dark red discharge occurring in the first 2 to 3 days after delivery, containing epithelial cells, erythrocyes, leukocytes and decidua. lochia serosa is a pink to brownish serosanguineous discharge occurring from 3 to 10 days after delivery thatcontains decidua, erythrocytes, leukocytes, cervical mucus, and microorganisms. lochia alba is an almost colorless to yellowish discharge occurring from 10 days to 3 weeks after delivery and containing leukocytes, decidua, epithelial cells, fat, cervical mucus, cholesterol crystals, and bacteria.
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