The discharge teaching plan for the postpartum woman includes information about expected vaginal discharge. Which statement should be included?
a. Lochia normally has an offensive odor.
b. Bright-red bleeding, called lochia rubra, will continue for 10 to 14 days.
c. Small blood clots are normal in lochia rubra, lochia serosa, and lochia alba.
d. Notify your health care provider if lochia does not become lighter in color by the fourth postpartum day.
ANS: D
Normally, lochia is red for the first 1 to 3 days, lightens and turns a brownish color from days 4 to 10, and is yellow or white by the tenth day. The odor should not be unpleasant. Small blood clots are normal in the first few days only.
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