A postpartum client who delivered vaginally three days ago asks when her lochia should no longer appear red. What is the appropriate response by the nurse?
By the end of the second week postpartum
After 7 to 10 days postpartum
Within the first 24 hours postpartum
Within 3 to 4 days postpartum
Lochia progresses through three stages postpartum: lochia rubra (red and bloody, lasting 3-4 days), lochia serosa (pinkish-brown, lasting up to 10 days), and lochia alba (whitish-yellow, lasting 2-6 weeks). Lochia that remains red after four days may indicate complications such as retained placenta or delayed uterine involution. It is important for nurses to educate clients on the expected timeline to help them identify any abnormalities. Incorrect answers may include signs of infection, which are unrelated to the timeline of lochia.
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