Module 5 - Postpartum care

Question 1

what position and height is the uterus fundus immediately after placenta expelled? Descent rate?

Answer 1

can be felt midline, at or below umbilicus as a firm mass. After 24 hrs fundus begins to descend about 1 cm each day

Question 2

what are the three types of lochia in order?

Answer 2

Lochia Rubra -> Lochia Serosa -> Lochia Alba

Question 3

Describe the color, consistency and time seen of lochia

Answer 3

Lochia Rubra: Red, Mostly blood, About 3 days
Lochia Serosa: pinkish, Blood and mucus, 3rd to 10th day
Lochia Alba: Clear/colorless or white, Mostly mucus, 10th to 21st day

Question 4

What is normal amount of blood loss during labour and delivery for a Vaginal delivery ?

Answer 4

500 mL

Question 5

What is normal amount of blood loss during labour and delivery for a C-section?

Answer 5

1000 mL

Question 6

When does menstruation reappear after childbirth:
• In non-nursing mothers?
• In nursing mothers?

Answer 6

non-nursing = about 5 weeks
Nursing = about 8 weeks