Which of the following would indicate an abnormal finding during the postpartum period?
A) Lochia flow changing from alba to rubra
B) Unable to palpate uterine fundus at 6-week postpartum checkup
C) Presence of afterbirth pains
D) Lochia flow heavier in the early morning 2 days following vaginal birth

Question

Quizplus · Accepted Answer

Lochia flow should progress from rubra to serosa to alba as part of the normal sequence. A change in sequence would indicate an abnormal finding and possible infection and/or bleeding. The uterine fundus should no longer be palpable at 2 weeks postbirth. Afterbirth pains during the postpartum period are a normal finding based on involution of the uterus. Lochia flow may be heavier on arising because of the effects of gravity and pooling of blood while recumbent.

Which of the Following Would Indicate an Abnormal Finding During