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Question

What is the expected color and composition of lochia serosa?

The correct answer is

Pinkish or brownish discharge containing serous fluid and leukocytes

Lochia is the vaginal discharge after childbirth and passes through three stages: rubra (red), serosa (pink-brown) and alba (white).

Lochia serosa appears from about day 4 to day 10 postpartum.

It is a pinkish or brownish discharge made of serous exudate, leukocytes, red blood cells, cervical mucus and debris from the healing placental site.

A white or yellow discharge is lochia alba, bright red with clots is lochia rubra, and a clear watery discharge with no cells is not characteristic of lochia at all.

Hence, Pinkish or brownish discharge containing serous fluid and leukocytes.

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Important Questions from Midwifery and Obstetrical Nursing

  1. A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?

  2. During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?

  3. Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?

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  5. During assessment, a midwife observes a blood-tinged mucus discharge, known as the 'show,' in a pregnant woman. What is the significance of this finding?

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