Gebital Tract

Question 1

What effect does reduces progesterone have on the vagina, vulva and pelvic floor? (2mks)

Answer 1

It gives them more muscular tone (as it’s not so relaxed) so it goes back to normal tone and size

Question 2

What can offensive lochia indicate and what other signs and symptoms might you look for? (3mks)

Answer 2

Infection/retained products
High temperature woman feeling unwell
Boggy not well contracted uterus
Increased blood loss

Question 3

Describe content appearance and duration of the following lochia:
Rubra
Serosa
Alba
(6mks)

Answer 3

Rubra- bright red blood amnion and chorion decidual cells vernix meconium last 1-3 days
Serosa- pinky red blood erythrocytes leukocytes cervical mucous microorganisms decidua lasts 4-10 days
Alba- white leucocytes decidual cells mucous Bacteria epithelial cells last 11-21 days