lochia rubra - Answer✔✔-Reddish or red-brown vaginal discharge that occurs immediately after
childbirth to first 3-4 days PP; composed mostly of blood, may have small clots, if the pad is filled w
blood after 1 hr that is a hemorrhage
lochia serosa - Answer✔✔-Pink, serous, and blood-tinged vaginal discharge that follows lochia rubra and
lasts until the 4-12th day after birth.
lochia alba - Answer✔✔-Whitish/yellowish discharge - lasts 12 days - 3 weeks, may last 3-6 weeks and
remain normal. gradually disappearing
assessing the postpartum fundus - Answer✔✔-height- according to time, abnormal if higher than
expected
position/displacement- midline is normal, abnormal is displaced to left or right
firmness- immediately firm is normal, firms w massage and boggy is abnormal
lochia- normal according to time, abnormal if gushes w large clots passed w massage
nursing interventions to promote uterine involution - Answer✔✔-breastfeeding- exogenous oxytocin
release
empty bladder- offloading extra blood volume, effect of labor IVF and pitocin, straight cath if necessary,
empty bladder if fundus is not midline first
massage- support uterus just above the symphysis pubis, massage fundus w dominant hand
call provider if not resolved- meds, assess for retained placenta
perineal tears grading:
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