RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Obstetrics & Gynaecology
Easy
The duration of lochia serosa is:
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Explanation
- Lochia is the vaginal discharge that occurs after childbirth, progressing through three distinct stages.
- Lochia serosa is the second stage, following lochia rubra and preceding lochia alba.
- It is characterized by a pinkish or brownish color due to a decreased amount of blood and an increased amount of serum, leukocytes, and wound exudate.
- The typical duration for lochia serosa is from approximately day 5 to day 9 postpartum.
Why Other Options Were Wrong
- Option B: This duration (16-20 days) is too late for lochia serosa. It falls within the lochia alba phase, which is the final stage of postpartum discharge.
- Option C: This duration (1-4 days) corresponds to lochia rubra, the first stage of postpartum discharge, which is characterized by its bright red, bloody appearance.
- Option D: This duration (10-15 days) corresponds to lochia alba, the third and final stage of postpartum discharge, which is whitish or yellowish-white.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Stages and duration of postpartum lochia as background academic context rather than a clinical decision trigger.
- Nurses must educate postpartum patients on the normal progression of lochia. This helps the patient distinguish between normal changes and signs of complications.
- Assessment of lochia (color, amount, odor, and presence of clots) is a critical nursing intervention to monitor for postpartum hemorrhage and infection.
- A foul odor is a significant sign of puerperal sepsis (postpartum infection) and must be reported immediately.
How to Approach the Question
- Identify the keywords in the question: "duration" and "lochia serosa".
- Recall the three stages of postpartum lochia in order: rubra, serosa, and alba.
- Remember the typical timeframe for each stage.
- Lochia rubra lasts for the first few days (1-4 days).
- Lochia serosa follows, lasting until about the ninth day (5-9 days).
- Lochia alba is the final stage, lasting from about day 10 up to several weeks.
Concept Tested & Keywords
- Concept Tested: Stages and duration of postpartum lochia
- Stem keywords: duration, lochia serosa
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Q-Jpx0PXDDhTGuZ1cPxXPv
Reference Book
E6 Obstetrics Williams p. 45-63
E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 51-62
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2020
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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