North American Registry of Midwives (NARM) Practice Exam

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What color is lochia rubra, the first type of lochia after delivery?

Pink
Red
Yellow
White

The correct answer is: Red

Lochia rubra is characterized by its red color, which corresponds to the vaginal discharge experienced in the first few days after childbirth. This discharge primarily consists of blood, decidual tissue, and uterine debris resulting from the shedding of the uterine lining. The red color reflects the presence of fresh blood and is a normal part of the postpartum process as the body begins to heal from the childbirth experience. Understanding lochia rubra and its color is essential for monitoring postpartum recovery, as it helps midwives and healthcare providers assess the woman’s condition and identify any potential complications early on.