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Exam NCLEX-RN topic 4 question 168 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 168
Topic #: 4
[All NCLEX-RN Questions]

The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?

  • A. Lochia alba, light
  • B. Lochia serosa, heavy
  • C. Lochia granulosa, heavy
  • D. Lochia rubra, moderate
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Suggested Answer: D 🗳️
(A) Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. (B) Lochia serosa is pink to brown and occurs 34 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. (C) Lochia granulosa is not a proper classification. (D) Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 34 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.

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