What should a nurse educate a postpartum client about regarding normal versus abnormal lochia?

Lochia is the vaginal discharge that occurs after childbirth and consists of blood, mucus, and uterine tissue. Understanding the normal progression of lochia is crucial for postpartum care.

The correct answer emphasizes that lochia should progress through different stages: from red (lochia rubra) for the first few days after delivery, to pink (lochia serosa) around the second week, and eventually to a white or yellowish color (lochia alba) by about four to six weeks postpartum. This progression indicates the healing process of the uterus and the body returning to its non-pregnant state. Monitoring this progression helps healthcare providers and patients identify any deviations, which could signal potential complications.

In contrast, the other choices present inaccuracies regarding lochia: dark red lochia is an expected finding only in the very early postpartum period and should not continue beyond a few days; a sudden increase in bleeding with clots can indicate issues such as uterine atony or retained products of conception, and thus is not considered normal; and lochia should not have a foul odor at any time, as this could signify infection.