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MB Study Guide 1 - Joshua Fleming MOTHER/BABY STUDY GUIDE#1...

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Joshua Fleming MOTHER/BABY STUDY GUIDE #1 1. Define and explain the following: a. Gravida- A pregnant woman b. Para- A woman who has borne offspring who reached the age of viability c. Term Infant- is an infant who is born after the completion of 37 weeks’ gestation or beyond d. Preterm Infant- Any infant born before 38 weeks’ gestation e. EDD/EDC- estimated date of delivery/estimated date of confinement f. LMP- last menstrual period- the last normal menstrual period experienced by the woman before pregnancy sometimes used to calculate the infant’s gestational age g. GBS (when is testing done, why is testing done, concerns for baby if mom is positive): Group B streptococcal disease. Found in the lower GI or urogenital tract. It can be transmitted during childbirth or in utero. The testing for this is done between 35th and 37th weeks of pregnancy. GBS is one of the leading causes of neonatal mortality and can cause an infant to go into sepsis and die. Must be treated with antibiotics. (Davidson, London, and Ladewig, 2012). h. CPD- cephalopelvic disporportion. Baby’s head is larger than the pelvic girdle of mother which causes abnormal fetal presentation i. FTP- failure to progress. Mother is not progressing through stages of labor as anticipated j. FTD- failure to descend. This means the baby is not descending during birth as the baby should. 2. Define lochia and identify/describe the 3 stages. Please be thorough. F_2013
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Joshua Fleming Lochia is vaginal discharge that occurs after birth. It is important in the healing process of the uterus and placental site. The three stages are lochia rubra, lochia serosa, and lochia alba. Lochia ruba is red and contains epithelial cells, RBC, WBC, bacteria, decidua, fetal meconium, lanugo, and vernix caseosa. This discharge usually occurs for up to 3 days postpartum. Lochia serosa is pink and contains exudate, decidua, RBC, WBC, cervical mucosa, and microorganisms. It should occur between the 3rd and 10th postpartum day. Lochia alba is mostly white or yellow and contains WBC, decidual cells, epithelial cells, fat, cervical mucus, cholesterol crystals, and bacteria. This discharge will cease when the cervix closes. (Davidson, London, and Ladewig, 2012).
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