A client gave birth five days ago. What kind of lochia is the nurse expecting to see with this woman?

• A. Lochia rubra
• B. Lochia serosa
• C. Lochia alba
• D. Heavy lochia with clots

Answer: (B)

Lochia after birth changes in a predictable sequence as the uterus heals. In the first days, lochia is rubra—bright red and often with small clots. By about day four through day ten, it typically becomes serosa—pinkish-brown, thinner, with fewer red cells. Later, around day ten onward, it becomes alba—pale yellow to white and increasingly scant.

At five days postpartum, serosa is the expected type, indicating normal recovery. Lochia rubra would be too early, and alba would appear later. Heavy lochia with clots would raise concern for ongoing significant bleeding.